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目的 探讨影响高血压脑出血预后的相关因素。方法 对 40例高血压脑出血患者的预后进行了分析。结果 意识水平、WBC、出血是否破入脑室以及血糖等因素与预后无明显相关系 (P >0 0 5 ) ;而治疗时机、出血量多少、脑疝和年龄等因素与预后有显著差异 (P <0 0 1 )。结论 抢救高血压脑出血时超早期血肿穿刺治疗 ,加强脱水、降颅压、防止脑疝形成是提高抢救成功率的重要措施。
Objective To explore the factors that influence the prognosis of hypertensive intracerebral hemorrhage. Methods The prognosis of 40 patients with hypertensive intracerebral hemorrhage was analyzed. There was no significant correlation between the level of consciousness, WBC, whether the bleeding broke into the ventricle and blood glucose, and prognosis (P> 0.05), but the timing of treatment, the amount of bleeding, the number of hernia and age were significantly different from the prognosis <0 0 1). Conclusion The treatment of hypertensive intracerebral hemorrhage early hematoma puncture treatment, to enhance dehydration, reduce intracranial pressure, prevent the formation of hernia is an important measure to improve the success rate of rescue.