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目的探讨脑梗死后出血发生的相关影响因素。方法回顾性分析我院2003年1月至2005年12月收治的42例脑梗死后出血病人的临床资料。结果脑梗死后出血与梗塞面积、3级高血压(>180/100mmHg)、高血糖、联合应用降纤、抗凝或抗血小板药物有关。结论对存在以上相关因素的急性脑梗死病人应积极控制3级高血压、高血糖,早期提示大面积脑梗死的患者慎重联合应用降纤、抗凝或抗血小板药物,出现病情变化及时复查头颅CT。
Objective To investigate the influencing factors of hemorrhage after cerebral infarction. Methods The clinical data of 42 patients with hemorrhage after cerebral infarction admitted to our hospital from January 2003 to December 2005 were retrospectively analyzed. Results Bleeding after cerebral infarction was related to infarct size, grade 3 hypertension (> 180 / 100mmHg), hyperglycemia, combination of antifibrillators, anticoagulant or antiplatelet drugs. Conclusions For patients with acute cerebral infarction who have the above factors, we should actively control grade 3 hypertension and hyperglycemia. Patients with large cerebral infarction who are early indications for large area cerebral infarction should be treated with cautious combination of fibrinolysis, anticoagulation or antiplatelet drugs, .