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目的探讨出血性脑梗死(H I)的危险因素,出血时间和预后的关系。方法对60例出血性脑梗死的临床资料,包括病因、血糖、血压、梗死面积、出血时间和预后进行回顾性分析和总结。结果大面积脑梗死、心源性脑栓塞、高血糖、高血压是H I主要的危险因素,出血时间发生越早,预后越差。结论对于有出血转化的脑梗死患者,及时复查头颅CT,早期诊断H I,针对出血类型及时调整治疗方案,改善H I的预后。
Objective To explore the relationship between risk factors of hemorrhagic cerebral infarction (H I), bleeding time and prognosis. Methods The clinical data of 60 patients with hemorrhagic cerebral infarction were retrospectively analyzed and summarized, including etiology, blood glucose, blood pressure, infarct size, bleeding time and prognosis. Results Large area cerebral infarction, cardioembolism, hyperglycemia and hypertension were the main risk factors of H I. The earlier the bleeding time was, the worse the prognosis was. Conclusion For patients with cerebral infarction who have hemorrhage and conversion, timely review head CT, early diagnosis of H I, adjust the treatment plan for the type of bleeding and improve the prognosis of H I.