出血性脑梗死的危险因素及预后

被引:41
作者
田成林
蒲传强
李雪梅
李正军
机构
[1] 解放军总医院神经内科
[2] 武警总医院神经内科
关键词
脑梗塞; 脑出血; 危险因素; 预后;
D O I
暂无
中图分类号
R743.33 [脑栓塞];
学科分类号
摘要
目的 探讨出血性脑梗死发生的危险因素以及继发出血对脑梗死短期预后的影响。方法 回顾性分析 1990~ 1999年间我院收治的 6 5例出血性脑梗死患者 ,采用多元logistic回归模型分析脑梗死继发出血的危险因素以及继发出血对脑梗死短期预后的影响。结果 栓塞、梗死累及皮层、高血糖、年龄 5 0~ 6 0岁是脑梗死继发出血的独立危险因素 ;对其他相关因素进行校正后 ,出血性脑梗死患者短期预后优于未出血组。结论 脑栓塞、大面积脑梗死易继发出血 ,高血糖、抗血栓治疗及低龄增加出血性脑梗死的危险性。在不形成血肿的情况下 ,出血不会导致预后恶化。
引用
收藏
页码:249 / 251
页数:3
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