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目的研究进展性高血压脑出血的相关因素,为临床筛选高危患者提供依据。方法通过CT检查,比较103例高血压脑出血患者病程中血肿量,分析血肿扩大与年龄、血压、饮酒史、血肿部位、血肿形态、第1次头颅CT距发病时间等因素对进展性高血压脑出血发生的影响。结果103例高血压脑出血患者中,20例出现进展性脑出血,发生率为19.4%,进展性高血压脑出血较未进展者年龄轻、血压高、有饮酒史、第1次头颅CT距发病时间<6h、多发生于丘脑且血肿形态不规则,差别均有统计学意义(P<0.05)。结论进展性高血压脑出血与年龄、饮酒、部位及形态有关,应对高危患者密切观察,病情恶化时复查头颅CT。
Objective To study the related factors of progressive hypertensive intracerebral hemorrhage and provide evidence for clinical screening of high-risk patients. Methods A total of 103 patients with hypertensive intracerebral hemorrhage were enrolled in this study. The duration of hematoma in 103 patients with hypertensive intracerebral hemorrhage was compared. The changes of hematoma, age, blood pressure, drinking history, location of hematoma, morphology of hematoma, The impact of cerebral hemorrhage. Results Of the 103 patients with hypertensive intracerebral hemorrhage, 20 patients had progressive cerebral hemorrhage with a rate of 19.4%. The patients with progressive hypertensive intracerebral hemorrhage had younger age, higher blood pressure and alcohol consumption, and the first CT scan Incidence of <6h, occurred in the thalamus and more irregular hematoma, the difference was statistically significant (P <0.05). Conclusions Progressive hypertensive intracerebral hemorrhage is related to age, alcohol consumption, location and morphology, and should be closely observed in high-risk patients. Head CT should be reviewed when the condition is deteriorating.