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目的探讨出血性脑梗死的发病因素。方法回顾分析本院5年来收住的962例脑梗死病人的临床资料。结果脑梗死后出血与大面积梗死、合并房颤、高血压、既往中风病史、年龄、高血糖有关,而与患者的性别、病前是否长期使用抗血小板药物、口服抗凝剂,病后是否使用溶栓、抗凝、抗血小板药物等无关。结论对大面积梗死、合并房颤、高血压、高血糖的病人宜密切动态观察,注意梗死后出血的可能,及时复查头颅CT/MRI以调整治疗方案。
Objective To investigate the incidence of hemorrhagic cerebral infarction. Methods The clinical data of 962 patients with cerebral infarction admitted to our hospital in 5 years were retrospectively analyzed. Results Hemorrhage after cerebral infarction was associated with large infarction, atrial fibrillation, hypertension, previous stroke history, age and hyperglycemia, but not with patient’s gender, pre-clinical use of antiplatelet drugs, oral anticoagulants, The use of thrombolytic, anticoagulant, antiplatelet drugs have nothing to do. Conclusions The patients with large infarction, atrial fibrillation, hypertension and hyperglycemia should be closely observed dynamically, the possibility of bleeding after infarction should be noticed, and head CT / MRI should be reviewed in time to adjust the treatment plan.