普遍认为高血压性脑出血(HLCH)是短暂性出血。因重复CT 检查很少发现血肿扩大,所以通常把病情恶化归因于脑水肿,脑积水或全身因素。作者通过对8例急性期病情恶化、第二次CT证实为血肿扩大的HICH 病人的分析,体会到:①发病24小时内,尤其12小时内的病情恶化常为持续性出血,而几天后的恶化常为再出血。②多数进行 It is generally accepted that hypertensive intracerebral hemorrhage (HLCH) is a transient hemorrhage. Due to repeated CT examination rarely found hematoma enlargement, so the deterioration of the disease is usually attributed to cerebral edema, hydrocephalus or systemic factors. The author of 8 cases of acute exacerbations, the second CT confirmed hematoma enlargement of the HICH patients, experience: ① within 24 hours of onset, especially within 12 hours of deterioration is often persistent bleeding, and a few days later The deterioration is often rebleeding. ② Mostly carried out