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目的:通过观察高血压脑出血血肿扩大的情况,探讨其影响因素和可能的原因。方法:收集本院2008年7月-2010年9月的高血压脑出血患者86例,对入组患者的性别、年龄、病程、血压、颅内血肿扩大时间、出血部位做一回顾性分析,根据颅脑CT了解患者颅内血肿变化的情况。结果:86例患者中血肿变大的有26例,占30.23%。在血肿扩大的26例患者中,血肿扩大发生在发病前6h的有16个,占61.54%,血肿扩大发生在发病后6h的有10个,占38.46%。部位分别是基底节血肿12例,占46.15%,额叶血肿3例,占11.54%,脑室血肿8例,占30.77%,不规则血肿3例,占11.54%。结论:高血压脑出血发病后6h内血肿扩大可能性大,基底节是血肿最容易扩大的部位。
Objective: To investigate the influencing factors and possible causes of hypertensive intracerebral hemorrhage by observing the enlargement of hematoma. Methods: 86 cases of hypertensive intracerebral hemorrhage in our hospital from July 2008 to September 2010 were collected. The gender, age, course of disease, blood pressure, time of intracranial hematoma enlargement and bleeding site were analyzed retrospectively. According to brain CT understanding of patients with intracranial hematoma changes. Results: There were 26 cases of hematoma enlarged in 86 cases, accounting for 30.23%. Among the 26 patients with hematoma expansion, hematoma enlargement occurred in 16 of 6h before onset, accounting for 61.54%. Hematoma enlargement occurred in 10 of 6h after onset, accounting for 38.46%. There were 12 cases of basal ganglia hematoma (46.15%), 3 cases of frontal hematoma (11.54%), 8 cases of ventricular hematoma (30.77%) and 3 cases of irregular hematoma (11.54%). Conclusions: Hematoma is more likely to expand within 6 hours after onset of hypertensive intracerebral hemorrhage. The basal ganglia are the most easily enlarged sites of hematoma.