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目的探讨高血压脑出血后早期血肿继续增大的危险因素。方法回顾性分析近5年来我院收治的240例高血压脑出血患者,将其分为血肿增大组(91例)和血肿不变组(149例),通过对比两组发病前、发病时及发病后的各项因素,找出危险因素。结果情绪激动、血肿形态不规则、大量应用甘露醇、血压持续不降及血肿量20~30 ml为高血压脑出血后早期血肿继续增大的危险因素,而血肿量>30 ml可能是血肿继续扩大的保护因素。结论有效干预诸危险因素,合理调控血压和使用甘露醇,对血肿不规则和出血量20~30 ml者密切观察病情,将为高血压脑出血治疗带来益处。
Objective To investigate the risk factors of early hematoma enlargement after hypertensive cerebral hemorrhage. Methods A retrospective analysis of 240 cases of hypertensive intracerebral hemorrhage admitted to our hospital in the past 5 years was conducted and divided into hematoma enlargement group (91 cases) and hematoma involution group (149 cases). By comparing the two groups before onset, And after the onset of various factors, identify risk factors. Results of agitation, irregular shape of hematoma, a large number of mannitol, blood pressure continued to decline and hematoma volume 20 ~ 30 ml hypertensive intracerebral hemorrhage early hematoma continue to increase the risk factors, and hematoma volume> 30 ml may be continued hematoma Expanded protection factors. Conclusion Effective intervention of various risk factors, the rational regulation of blood pressure and the use of mannitol, hematoma irregularities and blood loss of 20 to 30 ml were closely observed the disease, will bring benefits for the treatment of hypertensive intracerebral hemorrhage.