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目的 探讨脑出血后继发缺血性脑损害、脑梗死的发生 ,并将我院 1997年 7月～ 2 0 0 1年 3月住院的 15 7例脑出血患者进行分析。方法 对 15 7例脑出血患者及随机抽取同期 5 0例住院脑梗死患者 ,于入院当日、术后第 5天及第 2 8天复查头部CT ,并将手术组和非手术组于入院当日、第 10天、第 2 8天进行神经功能缺评分 ,并将两组进行比较。结果 4周后 15 7例脑出血患者脑梗死占 2 8.6 6 % ,对照组 2 % ,两组对比有显著性差异 (P <0 .0 1)。结论 脑出血后不仅有出血性损害 ,同时还存在缺血性脑损害 ,并可导致脑梗死的发生
Objective To investigate the occurrence of secondary ischemic brain damage and cerebral infarction after intracerebral hemorrhage and analyze the 157 cases of cerebral hemorrhage hospitalized in our hospital from July 1997 to March 2001. Methods Fifty-seven patients with cerebral hemorrhage and 50 randomly selected in-hospital cerebral infarction patients were enrolled. The head CT was reviewed on the day of admission, the fifth day and the 28th day after operation. The patients in the operation group and the non-operation group were on the day of admission , The first 10 days, the first 28 days neurological deficit score, and the two groups were compared. Results After 4 weeks, cerebral infarction in 15 7 patients with cerebral hemorrhage accounted for 2 8.66% and in control group 2%, there was significant difference between the two groups (P <0.01). Conclusions After ICH, not only hemorrhagic lesions, but also ischemic brain damage, and can lead to cerebral infarction