CAJ | 학술논문

目的：分析脑出血血肿扩大的相关因素，以及对预后的不良影响。方法回顾性分析我院160例脑出血患者的临床资料，并进行分析比较。结果160例患者中存在血肿扩大者60例，非血肿扩大者100例；血肿扩大组6 h内发生率较高为83.3％；2组患者间长期饮酒史、收缩压及舒张压水平、血肿部位、血肿形态、意识障碍与早期是否应用甘露醇比较差异有统计学意义（P＜0.05）；患者预后与其意识状况、首次血肿量、血肿扩大、收缩压水平及早期是否应用甘露醇有密切相关性（P＜0.05）。结论脑出血后血肿扩大的发生率较大，高血压、长期饮酒及早期甘露醇的不合理应用是脑血肿扩大的危险因素，且血肿扩大可能是其预后不良的主要影响因素之一。
목적：분석뇌출혈혈종확대적상관인소，이급대예후적불량영향。방법회고성분석아원160례뇌출혈환자적림상자료，병진행분석비교。결과160례환자중존재혈종확대자60례，비혈종확대자100례；혈종확대조6 h내발생솔교고위83.3％；2조환자간장기음주사、수축압급서장압수평、혈종부위、혈종형태、의식장애여조기시부응용감로순비교차이유통계학의의（P＜0.05）；환자예후여기의식상황、수차혈종량、혈종확대、수축압수평급조기시부응용감로순유밀절상관성（P＜0.05）。결론뇌출혈후혈종확대적발생솔교대，고혈압、장기음주급조기감로순적불합리응용시뇌혈종확대적위험인소，차혈종확대가능시기예후불량적주요영향인소지일。
Objective To analyze the related factors for hematoma enlargement of intracerebral hemorrhage ,as well as the adverse effects on prognosis.Methods The clinical data of 160 patients with cerebral hemorrhage were retrospectively analyzed and compared.Results There were 60 cases of hematoma enlargement and 100 cases of non-hematoma enlargement in all pa-tients with cerebral hemorrhage ;the incidence in the group of hematoma enlargement was 83.3% ,which was higher. There were statistically significant difference on long-term drinking history ,level of systolic and diastolic blood pressure ,area and form of hematoma ,consciousness or unconsciousness as well as mannitol use or not in early stage between the two groups (P<0.05). The prognosis of patients was closely related to consciousness ,first hematoma volume ,hematoma enlargement ,systol-ic blood pressure level and mannitol use or not in early stage (P<0.05).Conclusion The incidence of hematoma enlargement after intracerebral hemorrhage is high ,which is mainly caused by hypertension ,long-term drinking and misuse of mannitol in early stage ,and hematoma enlargement may be one of the main factors for poor prognosis.