脑出血后继续出血的临床研究

目的 探讨脑出血后继续出血的发生时间、发生率、相关因素、防治和预后。方法 对240例住院确诊的脑出血患者于入院12h、24h、1周、2周内作CT动态观察，并结合临床进行分析。结果 240例脑出血患者中继续出血46例（19％），12h内发生26例（56．5％），12～24h内发生11例（24％），1周内8例（17％）。继续出血与卒中史、长期饮酒、服用阿司匹林、出血部位有关。结论 继续出血是导致病情加重和死亡的重要因素。

Clinical Analysis of Cerebral Hemorrhage and Hematoenlargement

Objective To study the time of occurrence, the influencing factors, prevention, treatment and prognosis of hematoenlargement after ICH. Methods The observation of dynamic changes in CT and clinical analysis were carried out in 240 cases of cerebral hemorrhage at different times within 24h, from 12h to 24h, 24h to 7d, 7d to 14d. Results The incidence of hematoma enlargement was 46 cases . The continous hemorrhage occurred mostly within 24h after cerebral hemorrhage, The continous hemorrhage was located mostly in putamen and thalamus, and maybe related to some dangerous factors. Conclusion Hematoma enlargement is an important factor to lead deterioration or death.