自发性脑出血继续出血的发生时间及临床研究

目的　探讨自发性脑出血后继续出血的发生时间、影响因素、防治及预后。方法　对 142例脑出血患者于发病后 12h内、12～ 2 4h、2 4h～ 7d、7～ 14d进行动态CT观察 ,并结合临床进行分析。结果　继续出血多发生在脑出血后 12h内 ,继续出血与长期饮酒及血压有关。部位以壳核及丘脑多见。结论　继续出血可导致病情加重 ,增加死亡率。

Clinical and time course study of continuous hemorrhage after spontaneous cerebral hemorrhage

Objective To explore the time of occurrence,the influencing factors,prevention,treatment and prognosis of continuous hemorrhage after spontaneous cerebral hemorrhage.Methods The observation of dynamic changes in CT and clinical analysis were carried out in 142 cases of cerebral hemorrhage at different times within 24 h,from 12 to 24 h,from 24 h to 7 d,from 7 to 14 d.Results The continuous hemorrhage occurred mostly within 12 h after cerebral hemorrhage and was related to long-term drinking and blood pressure.The continuous hemorrhage was located mostly in putamen and thalamus.Conclusion The continuous hemorrhage may lead to exacerbation of patient's condition and increase death rate.