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目的:对高血压性脑出血急性期血肿扩大进行临床调查和分析。方法:高血压性脑出血急性期患者90例,出现血肿扩大者30例为研究组,未出现血肿扩大的60例为对照组,回顾性分析2组患者临床特征。结果:入院时2组患者的平均动脉压、酗酒者和症状恶化者比例的差异有统计学意义(P<0.05);各出血部位、凝血功能异常者和糖尿病患者无差异。结论:血压增高、酗酒及症状恶化与高血压性脑出血急性期血肿扩大有一定关系。
Objective: To investigate the clinical investigation and analysis of hematoma expansion in acute hypertensive cerebral hemorrhage. Methods: 90 patients with acute cerebral hemorrhage in hypertensive cerebral hemorrhage, 30 patients with hematoma enlargement as the study group, 60 patients without hematoma enlargement as the control group, the clinical features of 2 groups were retrospectively analyzed. Results: There were significant differences in mean arterial pressure, alcohol abusers and worsening of symptoms between the two groups on admission (P <0.05). There were no differences in the bleeding sites, coagulation abnormalities and diabetes mellitus patients. Conclusion: The increase of blood pressure, alcohol abuse and the worsening of symptoms have some relation with the enlargement of hematoma in hypertensive intracerebral hemorrhage.