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目的:分析脑梗死患者溶栓后出现早期颅内出血的影响因素。方法:选取我院2013年~2014年收治的急性脑梗死患者30例,给予静脉溶栓治疗,对患者的临床资料进行分析,溶栓后的24h进行头颅CT的复查,观察患者颅内的出血情况。结果:溶栓后各种出血有14例,脑出血有14例,症状性颅内出血有2例。脑梗死患者溶栓后出现早期颅内出血的原因有糖尿病、心房纤颤、继发感染和尿激酶剂量。结论:脑梗死患者溶栓后出现早期颅内出血的影响因素可能有糖尿病、心房纤颤、继发感染和尿激酶剂量。
Objective: To analyze the influencing factors of early intracranial hemorrhage after thrombolysis in patients with cerebral infarction. Methods: Thirty patients with acute cerebral infarction admitted to our hospital from 2013 to 2014 were selected for intravenous thrombolysis. The clinical data of the patients were analyzed. The skull CT examination was performed 24h after thrombolysis to observe intracranial hemorrhage Happening. Results: There were 14 cases of various hemorrhage after thrombolysis, 14 cases of intracerebral hemorrhage and 2 cases of symptomatic intracranial hemorrhage. Causes of early intracranial hemorrhage after thrombolysis in patients with cerebral infarction Diabetes, atrial fibrillation, secondary infection and urokinase dose. Conclusion: The influencing factors of early intracranial hemorrhage after thrombolysis in patients with cerebral infarction may be diabetes, atrial fibrillation, secondary infection and urokinase dosage.