Clinical analysis of recurrent cerebral hemorrhage in patients with cerebral infarction complicated with cerebral hemorrhage
10.3760/cma.j.issn.1008-6706.2016.15.018
- VernacularTitle:合并脑微出血的脑梗死患者再发脑出血临床分析
- Author:
Ruihua WEI
- Publication Type:Journal Article
- Keywords:
Cerebral hemorrhage;
Cerebral infarction;
Cerebral hemorrhage,again
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(15):2304-2306
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the related factors and prevention measures of recurrent intracerebral hemorrhage in cerebral infarction patients with cerebral microbleeds.Methods 124 patients with acute cerebral infarction were divided into two groups according to the GRE -T2 * W1 examination,cerebral microbleeds as control group(n =42),non cerebral microbleeds as observation group(n =82);The recurrence of cerebrahemorrhage and related factors of the two groups were compared.Results In the control group,the distribution of the CMB in intracranial:thalamus -basal ganglia area was 23,accounting for 54.7%;cortical -subcortical area was 12,accounting for 28.5%,under the curtain area was 7,accounting for 16.7%.The incidence of recurrent intracerebral hemorrhage was 1 1 .3 % ,7.3% and 0.8% respectively .The incidence of recurrent intracerebral hemorrhage in the group with CMB(40.4%)was obviously higher than that of without the CMB group(10.9%),the difference was statistically significant(χ2 =11.263,P <0.05 ).Conclusion The cerebral infarction patients combined with CMB has high -risk in the aspect of recurrent intracerebral hemorrhage.Through the GRE -T2 * W1 to find CMB,which can guide clinical doctors choose reasonable treatment effectively,and then reduce the occurrence of cerebral hemorrhage and improve the prognosis of patients.
