Early hematoma enlargement in patients with spontaneous intracerebral hemorrhage and related factors analysis
10.3760/cma.j.issn.1673-4904.2014.36.011
- VernacularTitle:自发性脑出血早期血肿扩大及相关因素分析
- Author:
Zongliang XU
;
Shenghua LI
;
Shan WU
- Publication Type:Journal Article
- Keywords:
Cerebral Hemorrhage;
Hematoma enlargement;
Correlative factors;
Logistic models
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(36):30-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the related factors of early hematoma enlargement in patients with spontaneous intracerebral hemorrhage.Methods The clinical data of 142 patients with spontaneous intracerebral hemorrhage were analyzed.The first CT was performed within 6 h of onset and the second within 24 h of onset.Single factor analysis and multiple Logistic regression analysis were performed to determine the related factors of early hematoma enlargement.Results The incidence of early hematoma enlargement was 24.6％ (35/142).Multiple Logistic regression analysis revealed that the following four factors were independently associated with early hematoma enlargement:age (OR =1.069,P =0.003),systolic pressure (OR =1.865,P =0.026),sharp of hematoma (OR =2.712,P =0.028),using mannitol (OR =2.939,P =0.020).Location of hemorrhage and volume of hemorrhage were not associated with early hematoma enlargement (P ＞ 0.05).Conclusions Age,systolic pressure,sharp of hematoma and using mannitol are the important predictors of early hematoma enlargement with spontaneous intracerebral hemorrhage.In patients with older age,higher systolic pressure,irregularly shaped hematoma,close observation of hematoma enlargement should be made CT-scanning check.And the caution in the early use of dehydrating agent should be careful.
