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青年脑出血继续出血78例临床分析
Clinical Analysis of Recurrent Cerebral Hemorrhage in 78 Young Patients
【摘要】 目的了解青年脑出血后继续出血的临床特点。方法对78例青年脑出血继续出血患者的临床资料进行回顾性分析。结果继续出血部位主要位于基底节区(59例,占756%);继续出血时间主要在发病后5h内(487%);血肿扩大基底节区大于脑叶,青年组高于老年组;继续出血与收缩压升高有明显关系;血肿形态不规则是继续出血的危险征象;血肿扩大是病情加重、临床症状恶化,死亡率升高的主要原因。结论充分认识青年脑出血继续出血的临床特点,采取积极的治疗措施,提高治愈率。
【Abstract】 Objective: To investigate the clinical characteristics of recurrent cerebral hemorrhage in young patients. Methods: The clinical data of 78 patients with recurrent cerebral hemorrhage were analyzed retrospectively. Results: Recurrent cerebral hemorrhage is mainly located in the basal ganglia(59 cases, 75.6%); and the recurrence often happened within 5 hours after the onset(48.7%); the enlargement of hematoma is more often seen in basal ganglia than in cerebral lobes, and it occurred more likely in young patients than in aged ones; recurrent hemorrhage is related to the increase of systolic blood pressure obviously; irregular hematoma in shape is a risk sign of recurrent hemorrhage; enlarged hematoma is the main cause of deterioration and it causes a high mortality rate.Conclusion: The clinical features of recurrent cerebral hemorrhage in young patients should be known thoroughly. It’s helpful to increase the recovery rate with effective treatment.
【Key words】 Cerebral hemorrhage in young patients; Recurrent hemorrhage; Clinical characteristics; Relative factors;
- 【文献出处】 医学理论与实践 ,The Journal of Medical Theory and Practice , 编辑部邮箱 ,2004年11期
- 【分类号】R743.34
- 【下载频次】28