152例脑出血急诊死亡病例分析

目的探讨脑出血的流行病学特征,总结导致脑出血死亡的相关因素及预防。方法对2000—2010年152例因脑出血急诊死亡病例的资料进行回顾性分析。结果 152例死亡病例中,男110例(72.37%),女42例(27.63%),男女性别构成比比较,差异有统计学意义(P<0.01)。脑出血以冬春季节和白天活动时为高发,存在季节性和昼夜时间差异。出血部位以基底核和脑叶为多,分别占30.92%和26.32%;多灶性出血、脑干出血和脑室出血发生率分别为19.08%、17.11%和16.54%;152例脑出血死亡病例中36例破入脑室,占23.68%。结论脑出血的发病与性别、年龄、季节等因素有关,脑出血急诊死亡与出血部位有关。

Analyses of 152 Dead Patients with Intracerebral Hemorrhage in Emergency Room

Objective To investigate the epidemiological characteristics of intracerebral hemorrhage and summarize the related factors of death.Methods 152 patients with intracerebral hemorrhage who died in emergency room during 2000 to 2010,were collected and retrospective analysed.Results There were 110 males(72.37%)and 42 females(27.63%)in 152 patients.The constituent ratio of male and female patients was significantly different(P<0.01).The patients mainly suffered from intracerebral hemorrhage in winter and daytime.There were seasonal and diurnal differences in onset of intracerebral hemorrhage.The region of intracerebral hemorrhage constituted 30.92% in basal ganglia and 26.32% in lobes of the brain;The incidence of cerebral hemorrhage of multiple location,hemorrhage of brainstem and encephalocoele constituted 19.08%,17.11% and 16.54% respectively.36 patients among 152 patients which hemorrhage broken into encephalocoele(23.68%).Conclusion The incidence of intracerebral hemorrhage is related with sex,age,season.The death of intracerebral hemorrhage in emergency room is related with the region of intracerebral hemorrhage.