论文部分内容阅读
目的探讨高血压脑出血早期血肿扩大的因素及防治。方法回顾分析105例患者的临床资料。结果本组患者105例,有28例血肿扩大,血肿扩大的发生率为24%,血肿扩大时间为3h～4d;发生于6h内16例,6～24h11例,较晚发生的1例患者为发病后4d。结论对有血肿扩大可能的高血压脑出血患者,应及时复查颅脑CT,一旦发现血肿扩大,应及时采取措施控制血肿继续扩大,最大限度地降低死亡率。
Objective To investigate the factors and prevention and treatment of early hematoma enlargement in hypertensive cerebral hemorrhage. Methods The clinical data of 105 patients were retrospectively analyzed. Results The group of 105 patients, 28 cases of hematoma enlargement, the incidence of hematoma enlargement was 24%, hematoma expansion time was 3h ~ 4d; occurred within 6h 16 cases, 6 ~ 24h11 cases, one case of the later occurred 4d after onset. Conclusion For patients with hypertensive intracerebral hemorrhage who may develop hematoma enlargement, brain CT should be reviewed promptly. Once the hematoma is found to be enlarged, measures should be taken to control hematoma expansion and minimize the mortality.