高血压脑出血患者出现活动性出血的临床特点  

Clinical features of active bleeding in patients with hypertensive cerebral hemorrhage

作　　者：熊猛[1] XIONG Meng(Department of Imaging,First People's Hospital of Ji'an City,Jiangxi Province,Ji'an 343000,China)

机构地区：[1]江西省吉安市第一人民医院影像科,江西吉安343000

出　　处：《中国当代医药》2021年第4期147-149,共3页China Modern Medicine

基　　金：江西省吉安市指导性科技计划项目。

摘　　要：目的探讨高血压脑出血患者的早期CT表现及其血肿与活动性脑出血的临床特点。方法选取2018年6月~2020年6月吉安市第一人民医院收治的60例高血压脑出血患者作为研究对象,根据是否出现活动性出血现象将其分为试验组(出现活动性出血现象)15例与对照组(未出现活动性出血现象)45例。两组患者均进行CT检查,比较两组患者的基底节区出血占比、血肿形态及脑出血量。结果试验组患者的基底节区出血占比低于对照组,差异有统计学意义(P<0.05)。试验组患者的基底节区出血位置主要在内囊,对照组患者的基底节区出血位置主要在内囊与外囊。试验组患者的血肿形态与对照组比较,差异有统计学意义(P<0.05)。试验组患者的脑出血量多于对照组,差异有统计学意义(P<0.05)。结论患有高血压脑出血的患者要及时进行CT检查,针对患者出现的活动性出血问题,其血肿情况会产生相应的变化,患者的脑出血量会呈现升高现象,不利于患者的预后。Objective To investigate the early CT findings of patients with hypertensive intracerebral hemorrhage and the clinical characteristics of hematoma and active intracerebral hemorrhage.Methods A total of 60 patients with hypertensive cerebral hemorrhage who treated in First People's Hospital of Ji'an City from June 2018 to June 2020 were selected as the research objects.According to weather they had active bleeding,they were divided into the experimental group(active bleeding)with 15 patients and the control group(without active bleeding)with 45 patients.All of the patients were received CT examinations.The proportion of basal ganglia hemorrhage,hematoma morphology and cerebral hemorrhage volume were compared between the two groups.Results The proportion of basal ganglia hemorrhage in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).In the experimental group,the bleeding sites in the basal ganglia were mainly in the internal capsule,while in the control group,the bleeding sites in the basal ganglia were mainly in the internal capsule and external capsule.The difference of hematoma morphology between the experimental group and the control group was statistically significant(P<0.05).The amount of cerebral hemorrhage in experimental group was more than that in control group,and the difference was statistically significant(P<0.05).Conclusion For patients with hypertensive intracerebral hemorrhage,CT examination should be performed in time.For patients with active bleeding,their hematoma will change accordingly,and the patients'bleeding volume will appear to increase,which is not conducive to the prognosis of patients.

关 键 词：高血压脑出血 早期CT表现 活动性出血 

分 类 号：R544.1[医药卫生—心血管疾病]