摘要
目的探讨自发性脑出血治疗中并发症的发生机制及有效预防措施。方法对86例自发性脑出血治疗中出现的并发症进行回顾性分析。结果感染37例,其中肺部感染17例,泌尿道感染8例,消化道感染6例,皮肤感染6例。心功能不全7例;肝肾功能不全12例;消化道出血13例;高血糖与水盐平衡失调14例;癫8例。部分病例有两个或以上并发症。结论对于自发性脑出血病人常出现严重的并发症,采取积极的预防与治疗措施是提高病人生存率、降低病死率,缩短住院时间及减少治疗费用的有效途经。
Objective To study the effective ways in preventation of the severe complications during the treatment of spontaneous intracerebral hemorrhage （ICH）. Methods The clinic data of 86 patients with ICH were restrospeetively analysed on the severe complications in the process of the treatment. To clarify the effects of systemic complications on the outcome of patients with ICH, we collected the information on the severity of ICH and the clinical courses, as well as on systemic complications such as pneumonia, cardiac episodes, gastrointestinal complication, liver damage, renal impairment and urinary tract infection. Then we analyzed those factors in relation to the patients＇ backgrounds and outcomes. Results After treatment 13 cases died and 73 cases survived. Several kinds of severe complications were found during the process of the treatment of the 86 patients with ICH. Infection was the most common complications which happened in these patients. There were 17 cases Lung infection; 8 cases urinary tract infection; 6 cases gastrointestinal tract infection; and 6 cases severe skin infection. Heart insufficiency was 7 eases, renal and liver impairment was 12 cases, hemorrhage of gastrointestinal tract 13 eases, hyperglycemia and water electrolyte dosorder was 14 cases, epilepsy was 8 eases. Some patients were found with two or more kinds of these complications. Conclutions With the high ratio of the occerrance of severe complications in the patients with ICH, aggressive management of these complications can potentially reduce the morbidity, mortality, duration of hospital stay, and financial expenditure incurred in these patients.
出处
《安徽医学》
2009年第2期165-167,共3页
Anhui Medical Journal
