出血性脑梗死相关危险因素及预后分析

目的研究出血性脑梗死(hemorrhage infarction,HI)的相关危险因素和预后。方法我院948例急性脑梗死住院患者,分析其梗死类型、梗死面积、血糖及溶栓治疗与HI发生的关系,比较出血发生时间、出血类型与短期预后之间的关系。结果脑梗死后出血性转化与梗死机制、梗死面积、高血糖及溶栓治疗有关;其出血性转化发生时间愈早则预后愈差,血肿型预后较非血肿型差。结论脑栓塞、大面积脑梗死、高血糖、溶栓治疗是HI的主要危险因素。

Analysis of related risk factors and prognosis to cerebral hemorrhagic infarction

Objective To study the related risk factors on cerebral hemorrhagic infarction （HI） and its relation to prognosis. Methods The type of infarction, infarct size, blood glucose and thrombolysis in 948 patients with acute cerebral infarction （CI） were retrospectively analyzed. The relationship between short term prognosis and hemorrhagic time, hemorrhagic nature was compared. Results HI was associated with type of in- farction, infarct size and hyperglycosemia combined thrombolysis. The earlier hemorrhage happened after cerebral infaraction indicated a worse prognosis. The prognosis in CI with hematoma was worse than that in CI without he- matoma. Conclusion Cerebral thrombosis,large infarct size,combining hyperglycosemia and thromboiysis were the major risk factors of HI. Patients with these risk factors should be paid more attention, especially HI happen- ing earlier or forming hematoma.