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目的探讨脑出血后脑水肿的变化与临床表现的关系。方法对59例脑出血患者采用脱水、营养神经及预防并发症等常规治疗,于治疗前、治疗2周和3周作头颅CT及记录临床表现。结果49例患者2周时均有水肿加重,而临床病情大多较前好转,仅10例临床表现加重。结论脑出血后脑水肿高峰可持续2周以上,但水肿程度与临床表现程度不相关,因此脑出血患者需注意防治脑水肿。
Objective To explore the relationship between cerebral edema and clinical manifestations after intracerebral hemorrhage. Methods 59 cases of patients with cerebral hemorrhage were treated by routine therapy such as dehydration, nourishing nerves and preventing complications. Before treatment, 2 weeks and 3 weeks after treatment, skull CT was performed and the clinical manifestations were recorded. Results 49 cases of patients had edema at 2 weeks, while most of the clinical condition improved earlier, only 10 cases of clinical manifestations worsened. Conclusions The peak of cerebral edema after intracerebral hemorrhage can last more than two weeks, but the degree of edema is not correlated with the degree of clinical manifestations. Therefore, patients with cerebral hemorrhage should pay attention to prevention and treatment of cerebral edema.