自发性蛛网膜下腔出血患者住院期间再出血相关因素分析与对策

目的：探讨住院期间自发性蛛网膜下腔出血患者再出血的相关因素和对策。方法：对42例自发性蛛网膜下腔出血患者住院期间引起再出血的各种相关因素进行分析。结果：再出血危险因素：34例持续高血压,14例情绪激动,7例下床排便用力,6例剧烈活动,7例睡眠不佳烦燥后出血,4例再出血发生在术前8小时,4例患者在腰穿时出血。结论：自发性蛛网膜下腔出血患者住院时高血压和和各种引起血压升高的诱因是引起再出血最主要原因.同时出血时间间隔和住院期间不适当的腰穿也是引起再出血的重要原因。

Analysis of Related Factors and Countermeasures to rebleeding of the Admitted Spontaneous Subarachnoid Hemorrhage Patients

Objective：To analyze related factors and countermeasures to rebleeding of the admitted spontaneous subarachnoid hemorrhage patients.Methods：Various kinds of risk factors were analyzed,which were of 42 admitted patients with rebleeding of spontaneous subarachnoid hemorrhage.Results：34 cases suffered from persistent hypertension,14 cases agitated emotion,7 cases straining at stool,6 cases aggravating activities,7 cases rebleeding after bad sleeping,4 cases rebleeding 8 hours before operation,4 cases rebleeding during lumbar puncture. Conclusion.. Hypertension and any motivation causing hypertension were identified as the most important reasons of rebleeding for patients with spontaneous subarachnoid hemorrhage. Meanwhile, bleeding interval and undue lumbar puncture were also identified as important reasons of rebleeding.