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目的 探讨脑出血后继续出血的发生率、发生时间、相关因素、防治和预后。方法 对２０６ 例脑出血患者于入院后２４ 小时内、１周内、２周内作ＣＴ动态观察，并结合临床资料进行分析。结果 继续出血的发生率为１６％ ，继续出血发生在２４ 小时内占６０．６％ 。继续出血与慢性肝病、卒中史、长期饮酒和服用阿司匹林有关，而与血压及发病年龄无关。继续出血部位以丘脑最多见。血肿形态不规则者易发生继续出血。继续出血患者死亡率高。结论 继续出血是导致病情加重和死亡的重要因素。
Objective To investigate the incidence of hemorrhage after cerebral hemorrhage, its occurrence time, related factors, prevention and prognosis. Methods Twenty-six patients with cerebral hemorrhage underwent CT dynamic observation within 24 hours, 1 week and 2 weeks after admission, and analyzed with clinical data. Results The incidence of continued bleeding was 16%, and continued bleeding occurred within 60.6% within 24 hours. Continued bleeding and chronic liver disease, stroke history, long-term drinking and taking aspirin, but not with blood pressure and age of onset. Continue to bleeding parts of the most common in the thalamus. Hematoma irregular shape prone to continue bleeding. Continued bleeding patients with high mortality. CONCLUSIONS: Continued bleeding is an important factor leading to increased illness and death.