CAJ | 학술논문

　　目的探讨出血性脑梗死患者临床的发病因素及影响预后的相关因素。方法对我院近期内收治的102例出血性脑梗死患者的临床资料进行回顾性分析，总结出出血性脑梗死患者的有关发病因素及影响患者预后的相关因素。结果影响出血性脑梗死发生的主要因素包括患者的血糖水平、梗死类型和面积及是否接受溶栓治疗等；预后方面，出血转化时间早的患者及血肿型患者与出血转化晚和非血肿型患者比较，具有明显差异（P<0.05）。结论大面积梗死、高血糖及溶栓治疗是引发出血性脑梗死的主要因素，临床面对出血性脑梗死患者时应及早给予个体化的治疗，这样可以改善患者的预后。
　　목적탐토출혈성뇌경사환자림상적발병인소급영향예후적상관인소。방법대아원근기내수치적102례출혈성뇌경사환자적림상자료진행회고성분석，총결출출혈성뇌경사환자적유관발병인소급영향환자예후적상관인소。결과영향출혈성뇌경사발생적주요인소포괄환자적혈당수평、경사류형화면적급시부접수용전치료등；예후방면，출혈전화시간조적환자급혈종형환자여출혈전화만화비혈종형환자비교，구유명현차이（P<0.05）。결론대면적경사、고혈당급용전치료시인발출혈성뇌경사적주요인소，림상면대출혈성뇌경사환자시응급조급여개체화적치료，저양가이개선환자적예후。
Objective To investigate the correlation factors in the pathogenesis of hemorrhage clinical factors in patients with cerebral infarction and prognosis. Methods 102 cases of hemorrhagic infarction in patients with clinical data were retrospectively analyzed in our hospital were summarized in the near future, the hemorrhagic infarction related risk factors and the factors inlfuencing the prognosis. Results The inlfuence factors of hemorrhagic cerebral infarction patients with blood glucose level, including the type of infarction and area and whether or not to accept the thrombolytic therapy;prognosis of hemorrhagic transformation time, early patients and hematoma in patients with hemorrhagic transformation in patients with late and non hematoma, has signiifcant difference (P<0.05). Conclusion High glucose and thrombolysis in treating large area infarction are main factors to cause hemorrhagic cerebral infarction, hemorrhagic cerebral infarction clinical face should be treated as soon as possible given the individual, this can improve the prognosis of the patients.