CAJ | 학술논문

目的探讨高血压合并脑出血的临床诊治特点及相关因素,为临床诊疗及预后提供依据. 方法湖北省襄阳市中心医院神经外科自2010年2月至2013年2月收治高血压合并脑出血患者96例,回顾性分析其临床诊治及预后情况. 结果 96例患者中,好转76例,占79.17％(肢体瘫痪74例,占77.08％);死亡17例,占17.71％(其中发病24 h内死亡11例,24～72 h死亡6例);自动出院3例,占3.13％. 结论高血压合并脑出血患者应根据血肿大小采取相应治疗,预后较好.
목적 탐토고혈압합병뇌출혈적림상진치특점급상관인소,위림상진료급예후제공의거. 방법 호북성양양시중심의원신경외과자2010년2월지2013년2월수치고혈압합병뇌출혈환자96례,회고성분석기림상진치급예후정황. 결과 96례환자중,호전76례,점79.17％(지체탄탄74례,점77.08％);사망17례,점17.71％(기중발병24 h내사망11례,24～72 h사망6례);자동출원3례,점3.13％. 결론 고혈압합병뇌출혈환자응근거혈종대소채취상응치료,예후교호.
Objective To investigate the clinical characteristics and related factors of diagnosis and treatment of patients with hypertensive cerebral hemorrhage,and provide basis for clinical treatment and prognosis.Methods The clinical diagnosis and treatment data of 96 patients with hypertensive cerebral hemorrhage,admitted to our hospital from February 2010 to February 2013,were analyzed.Results In all the 96 patients,improvement was noted in 76 accounting for 79.17％,limb paralysis in 74 accounting for 77.08％ and death in 17 accounting for 17.71％; death within 24 hours of onset was noted in 11 accounting for 11.46％ and within 24-72 hours in 6 accounting for 6.25％.Automatic discharge was observed in 3,accounting for 3.13％.Conclusion Choosing corresponding treatments according to the hematoma sizes in patients with hypertensive cerebral hemorrhage plays important role in improving the prognosis.