脑出血急性期血肿扩大的临床分析

目的：探讨脑出血急性期血肿扩大的发生率、原因、临床表现、预后及采取的相应措施。方法：回顾性分析1994-2000年间诊治的867例脑出血病人的临床和CT资料。结果：脑出血急性期血肿扩大的发生率为20.1%，其主要与血压增高的程度、凝血功能、出血部位、血肿形态及早期过度脱水有关，血肿扩大增加了病人的死亡率。结论：血肿扩大的发生影响病人预后，应尽早确诊，采取积极防治措施，改善病人预后。

Clinical Analysis of the enlargement of the lntracerebral hematomas in the acute stage of cerebral hemorrhage

Objective：To explore the incidence，causes，clinical，manifestation of the enlargement of hematomas in the acute stage of cerebral hemorrhage and the measures to it ．Methods：The clinical course and their CT of 867 cases with cerebral hemorrhage occuning during 1994～2000 were analyses．Results：The incidence of the enlargement of the intracerebral hematomas in the acute stage of cerebral hemorrhage was 20.1％ ，which was related to the degree of hypertension，coagulation statement，bleeding site，morphologic charge of hematomas and extreme dehydration in early stage．The enlargement of the hematomas would make higher incident of the cerebral hemorrhage ．Conclusions：The progress was affected by the enlargement hematomas，so we should diagnose it as possibly earlier and take effective measures to improve prognosis of patients．