The Risk Factors Analysis Of Early Enlargement Of Hematoma After Intracerebral Hemorrhage

ObjectiveTo explore the risk factors of the early enlargement of hematoma after intracerebral hemorrhage in order to play a certain reference value in clinical through analyzing biochemical indicators, images and other data.Methods168 cases of cerebral hemorrhage, divided into hematoma expansion group (45 cases) and control group (123 cases) according to CT, the two groups of patients with the general situation, past history, admission conditions, radiographic examination, biochemical tests were statistically analyzed.ResultsThe incidence of early enlargement of hematoma was 26.8%. Hematoma shape, midline shift, breaking into the ventricles of the brain, biochemical examination of thrombin time (TT), white blood cell counts, blood neutrophil percentage, serum creatinine, fasting blood glucose, GCS score between the two groups differ significantly (P<0.05), in which midline shift, GCS score, fasting plasma glucose, breaking into the ventricles of the brain were the independent predictors of the early enlargement of hematoma in cerebral hemorrhage.ConclusionAfter onset of cerebral hemorrhage in patients, GCS score, head CT manifestations and leukocyte classification and counting, TT, serum creatinine, fasting blood glucose was related factors of hematoma expansion, especially in GCS score, midline shift and bleeding broken into the ventricle, fasting hyperglycemia, which indicators of cerebral hemorrhage had prompted expansion of the role. The need for close observation of patients with cerebral hemorrhage condition changes, and timely review of CT, dynamic monitoring of peripheral blood biochemical indicators of disease progression and prognosis of speculation in order to guide the next treatment.