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目的分析高血压性脑出血急性期血肿扩大的主要危险因素。方法对235例高血压性脑出血患者(71例血肿扩大患者)的临床资料进行回顾性分析。结果血肿扩大发生于24h以内者占92.9%;血肿扩大组收缩压较无扩大组高(P<0.01);血肿扩大组出血量高于无扩大组(P<0.01);血肿扩大组死亡率高于无扩大组(P<0.01);血肿扩大组长期酗酒者多于无扩大组(P<0.01)。结论收缩压、出血部位、血肿体积、长期酗酒史是影响血肿扩大的主要危险因素。对有血肿扩大危险性的患者,应对危险因素严密监控,采取相应的积极治疗措施。
Objective To analyze the main risk factors of hematoma enlargement in acute hypertensive cerebral hemorrhage. Methods The clinical data of 235 patients with hypertensive intracerebral hemorrhage (71 patients with enlarged hematoma) were retrospectively analyzed. Results Hematoma enlargement occurred in 24 hours, accounting for 92.9%. The systolic blood pressure in hematoma enlargement group was higher than that in non-enlargement group (P <0.01). Hemorrhage in hematoma enlargement group was higher than that in non-enlargement group (P <0.01) (P <0.01). There were more long-term alcohol abusers in the hematoma enlargement group than those in the non-expansion group (P <0.01). Conclusion Systolic blood pressure, bleeding site, hematoma volume, long history of alcohol abuse are the main risk factors affecting hematoma enlargement. Patients with risk of hematoma enlargement should be closely monitored risk factors, take the appropriate positive treatment.