【摘要】 目的 :脑出血存在继续出血或再出血的现象 ,并对产生血肿扩大的因素进行探讨。 方法 :对 72例经头部CT证实为脑出血的病例 2 4h后复查CT ,采用多田公式计算血肿体积。继续出血或再出血的判断标准 :血肿净增体积≥ 30 %。结果 :72例脑出血病人入院后均有病情加重的过程 ,复查脑CT证实有继续出血或再出血的现象 ,血肿净增 6～ 79ml,净增比例为 4 2 %～ 4 3 6 %。用大量甘露醇脱水、近脑室部位出血、血肿形态不规则、长期饮酒、肝肾功能异常者继续出血的发生率更高。结论 :脑出血病人继续出血或再出血是病情加重的重要因素之一 ,因此对可能发生继续出血或再出血的病人应尽早复查CT ,并采取积极的治疗措施。更多还原

【Abstract】 Objective:To clarifty the phenomenon of continuous or repeated bleeding existed in intracerebral hemorrhagenic patients,and to discuss the related factors.Methods:CT-verified 72cases were reexamined with CT-scan 24 h after the onset,and the volumes of hematoma were calculated with this formula:V=1/2×L×S×Layers.The criteria of continuous or repeated bleeding are repeated CT investigation verified the pure increased volume ≥30% than the initial hematoma.Results:All the patients got more serious after admission and repeated CT -scans showed continuous or repeated bleeding.The patients with the irregular hematoma volume,dyhydrate by mannitol,location of bleeding,long-term alcohol addiction as well as the abnomal functions of hepar and kidney showed higher rate for enlargement of hemtoma.Conclusion:Continuous or repeated bleeding of intracerebral hemorrhage is one of important factors that worsen the clinical symptoms.It is very necessary to repeat CT-scan and apply active treament to these cases.更多还原