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目的对于复发性脑出血进行临床分析。方法选取本院2008年2月至2009年12月就诊的30例复发性脑出血患者,男21例,30例中10例(33.33%)采用微创颅内血肿清除术,1例(3.33%)采取外科手术治疗,其余19例(63.33%)均内科保守治疗。结果 2次出血患者23例中,有效率为73.91%;3次出血患者6例中有效率为33.33%;4次出血患者1例中,有效率为0%。结论高血压是再发性脑出血最主要的危险因素。再出血的预防关键在于控制高血压病,合理治疗糖尿病、避免情绪波动、便秘等引起血压骤然升高的因素。
Objective To analyze the clinical data of recurrent intracerebral hemorrhage. Methods Thirty patients with recurrent intracerebral hemorrhage who were treated in our hospital from February 2008 to December 2009 were selected, including 21 males and 10 (33.33%) of 30 patients with minimally invasive intracranial hematoma. One patient (3.33% ) To take surgical treatment, the remaining 19 cases (63.33%) were conservative treatment of internal medicine. Results Among the 23 patients with secondary hemorrhage, the effective rate was 73.91%. The effective rate was 33.33% in 6 patients with 3 hemorrhage and 0% in 4 patients with hemorrhage. Conclusion Hypertension is the most important risk factor for recurrent cerebral hemorrhage. The key to the prevention of rebleeding lies in the control of hypertension, the rational treatment of diabetes, to avoid mood swings, constipation and other factors that cause sudden increase in blood pressure.