高血压脑出血患者急性期血肿扩大的因素分析

目的分析高血压性脑出血急性期血肿扩大的主要危险因素。方法对235例高血压性脑出血患者(71例血肿扩大患者)的临床资料进行回顾性分析。结果血肿扩大发生于24h以内者占92.9%;血肿扩大组收缩压较无扩大组高(P<0.01);血肿扩大组出血量高于无扩大组(P<0.01);血肿扩大组死亡率高于无扩大组(P<0.01);血肿扩大组长期酗酒者多于无扩大组(P<0.01)。结论收缩压、出血部位、血肿体积、长期酗酒史是影响血肿扩大的主要危险因素。对有血肿扩大危险性的患者,应对危险因素严密监控,采取相应的积极治疗措施。

The factor analysis of high blood pressure patients with cerebral hemorrhage in the acute phase of hematoma enlargement

Objective To analyze a major risk factor of the acute stage of hypertensive cerebral hemorrhage for hematoma enlargement.Methods 235 cases of hypertensive cerebral hemorrhage(71 cases of hematoma enlargement in patients)and clinical data were retrospectively analyzed.Results Hematoma enlargement occurred in 24 h or less accounted for 92.9%;hematoma expanding group of systolic blood pressure were higher than those without the expansion group(P<0.01),bleeding hematoma enlargement group were higher than those ...