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目的探讨脑出血后继续出血的影响因素及预防措施。方法将31例继续出血患者设为继续出血组,余101例无继续出血者设为对照组,比较两组的一般因素、既往史、行为因素、临床因素以及其他相关因素。结果继续出血组男性多于对照组,发病年龄较对照组轻;既往肝病史、服用阿司匹林者及酗酒者的比例明显多于对照组;病程较对照组明显缩短;发病时收缩压水平明显高于对照组;丘脑出血及血肿形态不规则、发病后出现呕吐躁动、24 h内应用甘露醇者的比例均多于对照组。结论年龄相对较轻的男性、既往肝脏疾病,长期服用阿司匹林、长期酗酒的脑出血患者出现继续出血的几率高,在脑出血早期收缩压持续升高、出血在丘脑且血肿形态不规则,发病后出现呕吐躁动及早期应用甘露醇是继续出血的危险因素。
Objective To explore the influential factors and preventive measures of continuous hemorrhage after intracerebral hemorrhage. Methods Thirty-one patients with continuous hemorrhage were enrolled as continuing bleeding group, and the other 101 patients without continuous hemorrhage as control group. The general, past, behavioral, clinical, and other related factors were compared between the two groups. Results There were more men in the bleeding group than those in the control group, and the age of onset was lighter than that in the control group. The history of previous liver disease, aspirin and alcohol abusers were significantly more than those in the control group. The duration of the bleeding was significantly shorter than that of the control group. Control group; thalamic hemorrhage and irregular shape of hematoma, onset of vomiting agitation, the proportion of mannitol within 24 h were more than the control group. CONCLUSIONS: Older age men, previous liver disease, long-term aspirin use, and long-term alcohol abuse have a high risk of continuing bleeding. Systolic blood pressure in the early stage of cerebral hemorrhage continues to increase. Hemorrhage occurs in the thalamus with irregular hematoma patterns. After onset Appear agitation and early application of mannitol is to continue the risk of bleeding.