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目的探讨脑出血内科治疗的适应证、治疗方案及疗效。方法对收治的80例高血压脑出血经内科治疗者临床资料进行回顾性分析总结。结果 80例患者住院时间5～45d,平均(22.5±7.5)d;基本治愈26例,显著好转25例,好转18例,无效7例,死亡4例,治疗总有效率为86.25%。治疗期间80例患者并发肺部感染者40例(50%),并发应激性溃疡者34例(42.5%),并发急性肾衰1例。出院时患者有完全性偏瘫后遗症者10例,不完全性偏瘫20例。结论对出血量较少(30ml以内)高血压脑出血患者可选择内科保守治疗,临床疗效好。
Objective To investigate the indications, treatment plans and curative effects of medical treatment of intracerebral hemorrhage. Methods The clinical data of 80 patients with hypertensive intracerebral hemorrhage treated by internal medicine were retrospectively analyzed and summarized. Results 80 patients were hospitalized for 5 ~ 45 days, with an average of (22.5 ± 7.5) days; 26 patients were cured basically, 25 patients improved significantly, 18 patients improved, 7 patients failed, and 4 patients died. The total effective rate was 86.25%. During treatment, 80 patients with pulmonary infection in 40 patients (50%), complicated with stress ulcer in 34 patients (42.5%), complicated by acute renal failure in 1 case. Discharged patients with complete hemiplegia sequelae in 10 cases, incomplete hemiplegia in 20 cases. Conclusions For patients with hypertensive intracerebral hemorrhage who have less blood loss (less than 30ml), conservative treatment can be selected, and the clinical curative effect is good.