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目的探讨高血压性脑出血早期严重并发症的防治,旨在降低其病死率和致残率,提高生存质量。方法1999年1月至2004年12月广东省茂名市茂南区鳌头卫生院经头颅CT证实高血压性脑出血患者90例的临床出现严重并发症及防治资料,进行回顾性分析。结果严重并发症有颅内高压85例,脑疝8例;心力衰竭18例,心肌梗死2例,脑心综合征8例;肺水肿3例,肺部感染14例;肾功能不全22例;消化道出血20例;高血糖症38例。存活51例,死亡39例,病死率43.3%。结论高血压性脑出血发病率高,并发症多,病死率和致残率高,故应高度重视高血压性脑出血早期严重并发症的防治,有效调控血压,可减少严重并发症发生,降低病死率和致残率,改善预后。
Objective To investigate the prevention and treatment of severe complications in the early stage of hypertensive intracerebral hemorrhage, so as to reduce the mortality and morbidity and improve the quality of life. Methods From January 1999 to December 2004, 90 cases of hypertensive intracerebral hemorrhage confirmed by cranial CT in AoTou Hospital of Maonan District, Maoming District, Guangdong Province were analyzed retrospectively. Results Serious complications were intracranial hypertension in 85 cases, hernia in 8 cases, heart failure in 18 cases, myocardial infarction in 2 cases, brain syndrome in 8 cases, pulmonary edema in 3 cases, pulmonary infection in 14 cases, renal insufficiency in 22 cases, Gastrointestinal bleeding in 20 cases; 38 cases of hyperglycemia. Survival in 51 cases, 39 deaths, the case fatality rate was 43.3%. Conclusion High incidence of hypertensive intracerebral hemorrhage, complications, high mortality and morbidity, it should attach great importance to early prevention and treatment of severe complications of hypertensive intracerebral hemorrhage, effective regulation of blood pressure can reduce the incidence of serious complications and reduce Mortality and morbidity, improve prognosis.