高血压性脑出血急性期血肿扩大的多因素分析

    Factors for hematoma enlargement after acute stage of hypertensive cerebral hemorrhage

    • 摘要: 目的:调查并分析高血压性脑出血急性期血肿扩大的临床因素。方法:高血压性脑出血急性期患者178例,出现血肿扩大者41例为研究组,未出现血肿扩大的137例为对照组,分析两组患者临床特征。结果:入院时两组患者出现呕吐症状、CT密度不均、长期酗酒的差异均有统计学意义(P<0.01),而糖尿病患者差异无统计学意义(P>0.05)。结论:出现呕吐症状、血肿密度不均、长期酗酒与高血压性脑出血急性期血肿扩大有一定关系。

       

      Abstract: Objective: To investigate and analyze the clinical factors related to hematoma enlargement after acute stage of hypertensive cerebral hemorrhage.Methods: One hundred and seventy-eight patients at the acute stage of hypertensive cerebral hemorrhage in our department were divided into two groups.Forty-one patients with hematoma enlargement were included in the observation group,the others acted as control.The clinical data related to hematoma enlargement of the two groups were reviewed retrospectively.Results: There was significant difference between the two groups in symptoms such as vomiting,uneven CT density and the ratio of insobriety (P<0.01),while no difference was observed in the number of patients with or without diabetes between the two groups (P>0.05).Conclusions: Vomiting,uneven density,hematoma and chronic alcohol consumption may be related to the hematoma enlargement after acute stage of hypertensive cerebral hemorrhage.

       

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