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目的了解脑出血临床死亡的主要原因,并提出相应对策。方法对1999年9月至2003年7月广东省东莞市樟木头医院收治的急性脑出血患者中死亡患者110例患者的死亡原因做临床分析。结果脑出血的死亡与下列因素有关:脑出血量、血压、血脂、血糖、眼底出血;脑出血死亡常发生在病后数天,1周内死亡者占30 d 内死亡的53%～82%;脑出血死亡主要原因:脑疝和急性脑功能衰竭;50～69岁为主要发病组,占67.27%;混合性出血病死率最高。结论充分认识脑出血临床死亡的各种相关因素,采取积极有效的防治措施,才能降低病死率。
Objective To understand the main causes of clinical death from cerebral hemorrhage and to put forward corresponding countermeasures. Methods Clinical data of 110 deaths among patients with acute cerebral hemorrhage admitted from Zhangmutou Hospital of Dongguan City, Guangdong Province from September 1999 to July 2003 were analyzed retrospectively. Results The death of cerebral hemorrhage was related to the following factors: the amount of cerebral hemorrhage, blood pressure, blood lipids, blood sugar, fundus hemorrhage; the death of cerebral hemorrhage often occurred within a few days after illness, and the death within 1 week accounted for 53% ~ 82% ; The main causes of cerebral hemorrhage death: hernia and acute brain failure; 50 to 69 years old as the main incidence group, accounting for 67.27%; the highest mortality of mixed hemorrhage. Conclusion All kinds of related factors of clinical death in cerebral hemorrhage are fully understood and active and effective prevention and control measures can be taken to reduce mortality.