脑出血性梗死的危险因素分析

目的探讨脑出血性梗死（HI）发病的危险因素.方法回顾性分析68例HI患者的病例资料,以HI病例为研究组（HI组）,同期未合并HI的520例急性脑梗死为对照组（non-HI组）,比较两组发病的相关因素.结果HI组的脑栓塞、大面积梗死、抗血栓治疗和高血糖＞11.1mmol/L）等事件的发生率显著高于non-HI组（P＜0.01）;两组病例的年龄、性别、高血压、高血脂等因素比较无显著性差异（P＞0.05）.结论脑栓塞、大面积梗死、抗血栓治疗和高血糖＞11.1mmol/L）是脑梗死继发出血的危险因素.

Analysis on risk factors of cerebral hemorrhagic infarction

Objective To explore the risk factors for hemorrhage transformation of cerebral hemorrhagic infarction(HI). Methods Sixty-eight patients with HI were analyzed retrospectively. In addition, the patients of acute cerebral infarction without hemorrhage were regarded as control group (non-HI group, n=520), HI cases as HI group (n=68). HI group was compared with non-group to obtain risk factors of HI. Results HI group had significantly higher incidences than non-HI group, of which involved cerebral embolism, large infarct volume, antithrombotic therapy and hyperglycemia(larger than 11.1mmol/L). Furthermore, there are no significant differences in age, gender, hypertension and hyperlipidemia between the two groups. Conclusions Cerebral embolism, large infarct volume, antithrombotic therapy and hyperglycemia(larger than 11.1 mmol/L) could be identified as risk factors for hemorrhage transformation of HI.