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目的:探讨住院期间自发性蛛网膜下腔出血患者再出血的相关因素和对策。方法:对42例自发性蛛网膜下腔出血患者住院期间引起再出血的各种相关因素进行分析。结果:再出血危险因素:34例持续高血压,14例情绪激动,7例下床排便用力,6例剧烈活动,7例睡眠不佳烦燥后出血,4例再出血发生在术前8小时,4例患者在腰穿时出血。结论:自发性蛛网膜下腔出血患者住院时高血压和和各种引起血压升高的诱因是引起再出血最主要原因.同时出血时间间隔和住院期间不适当的腰穿也是引起再出血的重要原因。
Objective: To explore the related factors and countermeasures of rebleeding in patients with spontaneous subarachnoid hemorrhage during hospitalization. Methods: A total of 42 patients with spontaneous subarachnoid hemorrhage during hospitalization caused by various factors related to rebleeding were analyzed. Results: The risk factors for rebleeding were 34 cases of persistent hypertension, 14 cases of agitation, 7 cases of forced bowel movement, 6 cases of severe activity, 7 cases of poor sleep, irritable and hemorrhagic, 4 cases of rebleeding occurred 8 hours before operation Four patients had hemorrhage at the time of lumbar puncture. CONCLUSIONS: Hypertension and various causes of BPH are the most common causes of recurrent bleeding in patients with spontaneous subarachnoid hemorrhage, and bleeding intervals and inappropriate lumbar puncture during hospitalization are also important causes of rebleeding the reason.