论文部分内容阅读
目的探讨引起蛛网膜下腔出血(SAH)再出血的临床特点和危险因素及预防措施。方法回顾分析普内科及神经内科7年收治的127例SAH患者和28例SAH再出血患者的临床表现和可能的危险因素。结果再出血发生率18.06%,高峰在发病后2周内,再出血多发生在冬季;再出血组平均年龄比SAH组低9.01岁,男性多于女性,为2.1∶1;再出血组病死率高达71.43%,比SAH组21.26%明显增高(P<0.01);高血压病、激动、长期的烟酒史和感染等均是再出血间接危险因素。结论 SAH急性期和恢复期,需对再出血可控危险因素及时干预。
Objective To investigate the clinical characteristics and risk factors of rebleeding caused by subarachnoid hemorrhage (SAH) and its preventive measures. Methods The clinical manifestations and possible risk factors of 127 patients with SAH and 28 patients with SAH rebleeding treated for 7 years in general and neurology department were retrospectively analyzed. Results The rate of rebleeding was 18.06%. The peak of rebleeding occurred in winter within 2 weeks after onset. The mean age of rebleeding group was 9.01 years lower than that of SAH group, more than that of female group (2.1:1). The mortality of rebleeding group Up to 71.43%, which was significantly higher than that in SAH group (21.26%) (P <0.01) .Hypertension, agitation, long history of alcohol and tobacco and infection were all indirect risk factors for rebleeding. Conclusions Acute and convalescent periods of SAH require a timely intervention on the controllable risk factors for rebleeding.