自发性脑出血早期血肿扩大相关因素的临床分析

目的:探讨引起自发性脑出血早期血肿扩大的发生时间、发生率及相关影响因素。方法:回顾性分析了108例脑出血后继续出血患者的动态CT检查结果及临床资料,对首次头颅CT检查时间、血肿量、血肿部位、形状及血压情况、长期饮酒史、肝肾功能进行对比研究。结果:自发性脑出血存在继续出血情况,发生率为14.81%(108/729)。其中58%(63/108)的病例发生在发病后6小时内。发病时舒张压>105mmHg,血肿体积>20ml,血肿靠近中线、形状不规则,肝肾功能异常,长期饮酒等因素在两组间有显著性差异。结论:自发性脑出血早期存在继续出血倾向,影响因素主要有:舒张压高、血肿体积较大、血肿靠近中线、血肿形状不规则,肝肾功能异常,长期饮酒。

A Clinical Analysis on the Correlative Factors of Early Hematomas Enlargement of Spontaneous Cerebral Hemorrhage

Objective:To investigate the occurrence time,incidence and the correlative factors of early hematomas of spontaneous cerebral hemorrhage enlargement.Methods:The results of dynamic CT examination and clinical data of 108 patients with continued hemorrhage after cerebral hemorrhage were analyzed retrospectively,and the first CTexamination time,hematomas quantity,position and shape of hematomas,blood pressure,long-term drinking history,hepatic and nephric function were studied contrastively.Results:Continued hemorrhage existed in spontaneous cerebral hemorrhage,and the incidence was 14.81%(108/729).It happened within 6 hours after attack in 58%(63/108)of the cases.There was a significant difference between the group with diastolic pressure>105mmHg when cerebral hemorrhage happened,volume of hematomas>20ml,the position of the hematomas near to the median line,the shape of the hematomas irregular,hepatic and nephric function abnormal,and long-term drinking history and the other group.Conclusion:Continued hemorrhage tendency existed in early stage of spontaneous cerebral hemorrhage.The main influence factors included:high diastolic pressure,volume of hematomas,the position of the hematomas near to the median line,the shape of the hematomas irregular,hepatic and nephric function abnormal,and long-term drinking history.