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目的探讨出血性脑梗死(HI)临床特征危险因素和防治对策。方法回顾性分析既往收治的HI患者35例临床资料,进行描述性统计分析以及对比分析。结果确诊HI占同期收治脑梗死患者12.4%;基本治愈4例,显著好转6例,好转3例,无变化3例,死亡6例,有效13例。结论应重点关注送院时间较晚、大面积梗死、梗死区血供丰富的急性脑梗死患者,及时行CT、症状观察,发现血肿与颅内压增高症状表现,及时处理血肿,降低继发出血风险。
Objective To investigate the clinical characteristics of hemorrhagic cerebral infarction (HI) and its prevention and treatment. Methods A retrospective analysis of 35 cases of HI patients admitted to the clinical data, the descriptive statistical analysis and comparative analysis. The results confirmed that HI accounted for 12.4% of patients with cerebral infarction over the same period; basically cured in 4 cases, 6 cases improved significantly, improved in 3 cases, no change in 3 cases, 6 cases of death, effective in 13 cases. Conclusions Should pay more attention to hospital delivery late, large infarcts, infarction area rich blood supply of acute cerebral infarction patients, timely CT, the symptoms were observed and found hematoma and intracranial hypertension increased symptoms, timely treatment of hematoma and reduce secondary bleeding risk.