肝硬化并发脑出血与高血压脑出血的对比研究

【摘要】 目的   探讨肝硬化并发脑出血与高血压脑出血临床特点的区别。 方法  比较首都医科大学附属北京地坛医院收治的36例肝硬化并发脑出血患者与同期我院收治的52例高血压脑出血患者出血量、出血部位及临床特点。 结果  本研究中肝硬化并发脑出血平均出血量低于高血压脑出血平均出血量（P=0.038）。两组患者脑出血部位有显著差异（P<0.001），肝硬化并发脑出血出血部位以脑叶（44.44%）为主，而高血压脑出血多位于基底节区（80.77%）。肝硬化脑出血多部位出血者占16.67%，而本组高血压脑出血中无多部位出血，两组有显著差异（P<0.001）。 结论  与高血压脑出血相比，肝硬化并发脑出血出血量较少，部位以脑叶多见，且亦多发。   

Comparison of Hepatic Cirrhosis Complicated Cerebral Hemorrhage and Hypertensive Cerebral Hemorrhage

【Abstract】
Objective To investigate the difference of clinical features, volume of hemorrhage and the location of cerebral hemorrhage between hepatic cirrhosis complicated cerebral hemorrhage and hypertensive cerebral hemorrhage.
Methods Thirty-six hepatic cirrhosis complicated cerebral hemorrhage patients and 52 hypertensive cerebral hemorrhage patients who were hospitalized in our hospital from October 2010 to May 2014 were enrolled in our study. We collected the data of all patients included including clinical features, volume of hemorrhage and the location of hemorrhage. The two sets of data were analyzed.
Results Hepatic cirrhosis complicated cerebral hemorrhage had specific clinical features in compared with hypertensive cerebral hemorrhage. The average volume of hepatic cirrhosis complicated hemorrhage was significantly less than hypertensive cerebral hemorrhage patients (P=0.038). The location of cerebral hemorrhage was significant different between the two groups (P<0.01). Hemorrhage was mainly located at the cortex (accounted for 44.44%) in patients with liver cirrhosis, and tended to be multiple (accounted for 16.67%), while the location of hemorrhage was mainly at the basal ganglia (accounted for 80.77%) in hypertensive patients.
Conclusion Compared with hypertensive cerebral hemorrhage, the average volume of hepatic cirrhosis complicated hemorrhage was significantly less. The bleeding site was mainly in the cortex, and multiple.