CAJ | 학술논문

目的：探讨分析诱发出血性脑梗死以及影响疾病治疗预后的相关因素，总结有效的诊疗方式。方法回顾性分析我院收治的出血性脑梗死90例患者临床资料，分析诱发出血性脑梗死的相关因素、临床治疗疗效以及患者出血时间、出血类型与疾病预后的关系等情况。结果患者的血糖水平、是否实施溶栓治疗以及患者梗死类型等是诱发出血性脑梗死的重要危险因素，本组所有患者经针对性的个体化治疗后，病情得到好转者71例（78.9%），治疗无效16例（17.8%），其余3例患者由于多器官功能衰竭而死亡，死亡率为3.3%；梗死发生7 d后出血患者以及非血肿型患者的临床治疗总有效率（89.5%）、（90%）明显高于梗死发生7 d内出血患者（73.1%）以及血肿型患者（68.3%），差异对比均具有统计学意义（P<0.05）。结论临床工作过程中应注意高血糖、大面积脑梗死以及溶栓治疗等具有出血高危因素患者的诊疗，尽可能做到及早诊断，及早采取有效的个体化治疗，有利于改善患者预后，降低死亡率。
목적：탐토분석유발출혈성뇌경사이급영향질병치료예후적상관인소，총결유효적진료방식。방법회고성분석아원수치적출혈성뇌경사90례환자림상자료，분석유발출혈성뇌경사적상관인소、림상치료료효이급환자출혈시간、출혈류형여질병예후적관계등정황。결과환자적혈당수평、시부실시용전치료이급환자경사류형등시유발출혈성뇌경사적중요위험인소，본조소유환자경침대성적개체화치료후，병정득도호전자71례（78.9%），치료무효16례（17.8%），기여3례환자유우다기관공능쇠갈이사망，사망솔위3.3%；경사발생7 d후출혈환자이급비혈종형환자적림상치료총유효솔（89.5%）、（90%）명현고우경사발생7 d내출혈환자（73.1%）이급혈종형환자（68.3%），차이대비균구유통계학의의（P<0.05）。결론림상공작과정중응주의고혈당、대면적뇌경사이급용전치료등구유출혈고위인소환자적진료，진가능주도급조진단，급조채취유효적개체화치료，유리우개선환자예후，강저사망솔。
Objective To study the analysis of cause of hemorrhagic cerebral infarction and the related factors influencing the prognosis of disease treatment,summarizes the effective way of diagnosis and treatment. Methods Our hospital were retrospectively analyzed clinical data of 90 cases of hemorrhagic cerebral infarction patients,and analyze the related factors to induce hemorrhagic cerebral infarction,the clinical curative effect and bleeding time,bleeding in patients with type relationship with the prognosis of diseases,and so on and so forth. Results The patients' blood sugar levels,whether to impose thrombolysis therapy and infarction in patients with type is an important risk factor of induced hemorrhagic cerebral infarction,this group of al of the patients after targeted individualized treatment,71 cases(78.9%),the person that the il ness get better treatment is invalid in 16 cases(17.8%),the remaining three patients died due to multiple organ failure,and mortality rate of 3.3%;Infarction occurred after 7 d hemorrhage patients and non hematoma in patients with clinical total effective rate(89.5%),(90%) was significantly higher infarction occurred hemorrhage patients(73.1%)and 7 d type hematoma patients(68.3%),contrast differences were statistically significant(P< 0.05). Conclusion Clinical work should be paid attention to during the process of high blood sugar,large area cerebral infarction and thrombolysis treatment of patients with bleeding risk factors of diagnosis and treatment,as far as possible do early diagnosis,early take effective individualized treatment,is helpful for improving the prognosis of patients,reduce mortality.