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目的探讨脑出血后早期血肿增大的相关危险因素。方法回顾性分析2007年至2009年诊治的93例脑出血患者的临床资料和CT资料。结果 93例患者中,22例出现血肿增大,发生率为23.7%,血肿扩大与血压过高、血肿体积较大、形态不规则、长期饮酒及早期应用甘露醇有关。结论对有血肿扩大可能的高血压脑出血患者,要严密观察病情变化,及时复查CT,尽早采取救治措施。
Objective To explore the related risk factors of early hematoma enlargement after intracerebral hemorrhage. Methods The clinical data and CT data of 93 patients with cerebral hemorrhage diagnosed and treated from 2007 to 2009 were retrospectively analyzed. Results Of the 93 patients, 22 cases showed hematoma enlargement with a rate of 23.7%. Hematoma enlargement was associated with high blood pressure, large hematoma volume, irregular shape, long-term alcohol consumption and early application of mannitol. Conclusion Patients with hypertensive intracerebral hemorrhage with enlarged hematoma should be closely observed changes in condition, timely review of CT, early rescue measures taken.