Effect of pre-hospital care on hematoma expansion in patients with hypertensive cerebral hemorrhage
10.3969/j.issn.1673-9701.2024.18.019
- VernacularTitle:院前急救对高血压脑出血血肿扩大的影响
- Author:
Hu WANG
1
;
Le ZHANG
;
Yutao ZHANG
Author Information
1. 连云港市急救中心急救科,江苏连云港 222002
- Keywords:
Hypertensive cerebral hemorrhage;
Hematoma enlargement;
Pre-hospital care
- From:
China Modern Doctor
2024;62(18):87-89,95
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the possible influencing factors of hematoma expansion in patients with hypertensive cerebral hemorrhage(HICH)during pre-hospital treatment.Methods The emergency clinical data of 169 cases patients with HICH treated in Lianyungang Emergency Center from January 2019 to June 2021 were collected retrospectively.According to the comparison of the two cranial CT bleeding volumes,they were divided into hematoma expansion group(42 cases)and hematoma non expansion group(127 cases).Multivariate Logistic regression were used to analyze the possible influencing factors of hematoma expansion.Results The change of systolic blood pressure,hematoma volume difference in the hematoma expansion group were higher than those in the non expansion group.The proportion of antihypertensive drugs,dehydrating drugs during transmission were lower than those in non expansion group.The transit time was higher than that in the non expansion group(P<0.05).Multivariate Logistic regression analysis showed that non antihypertensive drugs(OR=48.526,95%CI:7.778-302.737,P=0.001),non dehydrating drugs(OR=12.330,95%CI:3.084-49.296,P=0.001),systolic blood pressure at admission(OR=1.157,95%CI:1.082-1.238,P=0.001)were the risk factors of hematoma expansion in patients with HICH during pre-hospital care.Initial hematoma volume may be a protective factor(OR=0.893,95%CI:0.849-0.938,P=0.001).Conclusion Uncontrolled hypertension and longer transit time are related risk factors for hematoma enlargement in patients with HICH during pre-hospital care.
