高血压脑出血继续出血的临床分析

发布时间：2019-04-28 15:01

【摘要】：目的分析高血压脑出血继续出血的致病因素。方法回顾性分析167例高血压脑出血患者的临床资料,其中高血压脑出血继续出血患者26例。分析高血压脑出血继续出血的致病因素。结果继续出血患者血肿形态不规则22例,未继续出血患者5例;继续出血患者卒中病史23例,未继续出血患者8例;继续出血患者慢性肝病史7例,未继续出血患者0例;继续出血患者长期饮酒20例,未继续出血患者12例;继续出血患者凝血功能障碍及服用抗凝剂10例,未继续出血患者2例。继续出血与血肿形态不规则、既往有卒中病史、慢性肝病史、长期饮酒、凝血功能障碍及服用抗凝剂等有关(P0.05),与年龄、性别无关。结论临床上高血压脑出血继续出血的发生是患者病情加重的主要原因,其相关因素有血肿的形态、既往有卒中病史、慢性肝病史、长期饮酒、凝血功能障碍及服用抗凝剂等,对于继续出血的患者应该尽快治疗,同时选择合适的治疗方法 ,减少对患者的伤害,降低致死率和致残率。
[Abstract]:Objective to analyze the causative factors of continuous hemorrhage in hypertensive intracerebral hemorrhage. Methods the clinical data of 167 patients with hypertensive intracerebral hemorrhage were retrospectively analyzed, among which 26 patients with hypertensive intracerebral hemorrhage continued bleeding. To analyze the causative factors of continuous hemorrhage in hypertensive intracerebral hemorrhage. Results there were 22 cases with irregular shape of hematoma, 5 cases with no continuous bleeding, 23 cases with stroke and 8 cases with no continuous bleeding, 7 cases with chronic liver disease and 0 cases with no continuous bleeding. There were 20 cases of continuous bleeding, 12 cases of non-continuous bleeding, 10 cases of coagulation dysfunction and anticoagulant administration, 2 cases of non-continuous bleeding, 20 cases of continuous bleeding, 12 cases of non-continuous bleeding, 10 cases of coagulation dysfunction and anticoagulant administration. Continuous bleeding was associated with irregular shape of hematoma, previous history of stroke, chronic liver history, long-term drinking, coagulation dysfunction and anticoagulant use (P0.05), but had no relationship with age and sex. Conclusion the main causes of the exacerbation of hypertensive intracerebral hemorrhage are the morphology of hematoma, the previous history of stroke, chronic liver history, long-term alcohol drinking, coagulation dysfunction and anticoagulant treatment, and so on, and the related factors include the morphology of hematoma, the history of chronic liver disease, long-term drinking, coagulation dysfunction, and so on. Patients with continuous bleeding should be treated as soon as possible, and appropriate treatment methods should be chosen to reduce injury, mortality and disability rate.
【作者单位】：辽宁省丹东市宽甸满族自治县中心医院;
【分类号】：R743.34;R544.1

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