| 自发性脑出血继续出血的高危因素及治疗方法探讨 |
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| 引用本文： | 熊毅,王加才,周薇,黄萍.自发性脑出血继续出血的高危因素及治疗方法探讨[J].泸州医学院学报,2011,34(3):269-272. |
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| 作者姓名： | 熊毅 王加才 周薇 黄萍 |
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| 作者单位： | 乐山市人民医院内科,四川乐山,614000 |
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| 摘 要： | 分析自发性脑出血继续出血的发生率、发生时间和高危因素，并对脑出血的治疗方式进行探讨。方法：对763例自发性脑出血患者的临床资料进行回顾性分析。结果：所有病例中，有115例患者发生继续出血，发生率为18．2％。继续出血的发生时间是：73．1％病例在24h内，15．7％病例在24～72h内。首次头颅CT显示血肿量在10~30ml者继续出血的发生最多。出血部位在壳核、脑叶和丘脑等部位者占继续出血总病例的87．8％。危险因素还包括发病时收缩压升高、血肿形态不规则、既往有脑血管病史、长期酗酒史、慢性肝病史、长期使用抗血小板药物或抗凝剂等。结论：自发性脑出血存在继续出血，且发生率较高。继续出血有多种危险因素。治疗中采用合理控制血压、保护肝功能、使用止血药物、停用抗血小板聚集和抗凝药、避免早期大量使用甘露醇等，是预防继续出血和改善患者预后的有效治疗手段。
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| 关 键 词： | 脑出血 继续出血 高危因素 治疗 |
RISK FACTORS AND TREATMENT FOR CONTINUOUS HEMORRHAGE AFTER SPONTANEOUS INTRACEREBRAL HEMORRHAGE |
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| Xiong Yi,et al.RISK FACTORS AND TREATMENT FOR CONTINUOUS HEMORRHAGE AFTER SPONTANEOUS INTRACEREBRAL HEMORRHAGE[J].Journal of Luzhou Medical College,2011,34(3):269-272. |
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| Authors: | Xiong Yi |
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| Institution: | Xiong Yi,et al Department of Neurology,Leshan People's Hospital |
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| Abstract: | Objective:To study the incidence,onset time and risk factors of continuous hemorrhage after spontaneous intracerebral hemorrhage,and to explore the treatment of intracerebral hemorrhage.Methods:A retrospective contrast study was done on 763 cases with spontaneous intracerebral hemorrhage.Results:Of all cases,115 cases(18.2%)had continuous hemorrhage.The continuous hemorrhage occurred mostly within 24h after intracerebral hemorrhage in 73.1% cases,from 24h to 72h in 15.7% cases.The cranial computed tomograph... |
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| Keywords: | Cerebral hemorrhage Continuous hemorrhage Risk factor Treatment |
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