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目的：探讨75岁以上老年患者出血性脑梗死的相关危险因素及治疗情况。方法：选取我院在2012年4月至2015年7月诊治的86例脑梗死75岁以上的患者，其中有43例为出血性脑梗死（研究组），43例为非出血性脑梗死（对照组），比较两组的相关危险因素与治疗情况。结果：两组资料相比较，研究组的相关危险因素主要为血压及血糖过高、脑栓塞、脑梗死面积较大，研究组每个出血时段的治疗情况相比较，差异明显(P＜0.05)。结论：出血性脑梗死75岁以上患者的相关危险因素主要为脑栓塞、高血压、高血糖及脑梗死面积过大等。“,”Objective To investigate the risk factors and treatment of hemorrhagic cerebral infarction in elderly patients over 75 years of age.Methods Selected in our hospital for treatment of 86 cases of cerebral infarction over the age of 75 patients, including 43 cases of hemorrhagic cerebral infarction (Study Group) and 43 cases of non hemorrhagic cerebral infarction (control group), compared two groups of related risk factors and treatment.Results Compared two groups, study group related risk factors mainly blood pressure and high blood sugar, cerebral embolism, cerebral infarction area larger, the study group each hemorrhage period of treatment compared, the difference was significant (P < 0.05).Conclusion The related risk factors of hemorrhagic cerebral infarction patients over 75 years old are mainly cerebral embolism, hypertension, hyperglycemia and cerebral infarction area is too large, etc.