Clinical Analysis Of Continuous Hemorrhage Of Hypertensive Cerebral Hemorrhage

Object:The purpose of this study is through clinical observation and Analysis on risk factors of clear supratentorial hypertensive cerebral hemorrhage after hemorrhage.To observe the relationship between admission blood pressure and continuous hemorrhage; brain CT showed the amount of bieeding, bleeding, hematoma formation, hemorrhage, and continue to hemorrhage.Methods:We selected311patients with ICH admitted within24hours of onset. The first CT was performed at admission and the second at the time of24hours after onset,and the third at the time of72hours after onset,some at the time of worse. According to the CT result,we separated objective group (with continuous hemorrhage) and contrast group (without continuous hemorr-hage). Statistical analyses were performed to assess the relationships between continuous hemorrhage and BP.Result:1. SBP, DBP, MAP and pulse pressure of continuous hemorrhage group were significantly higher than the non-continuous hemorrhage group (P<0.05). Whose SBP>200mmHg and DBP>110mmHg of continuous hemorrhage group were more than non-continuous hemorrhage group, the difference was significant (P<0.01).2. Thalamic hemorrhage of continuous hemorrhage group was significantly more than non-continuous hemorrhage group (P<0.05). The volume of bleeding of continuous hemorrhage group was significantly higher than the non-continuous hemorrhage group (P<0.05). The ratio of bleeding volume>20ml was significantly higher than non-continuous hemorrhage group (P<0.01). Hematoma with irregular shape and cerebral hemorrhage broken into ventricle were more prone to continuous hemorrhage (P<0.01).Conclusion:1. Continuous hemorrhage after cerebral hemorrhage was closely related to a variety of factors.2. High blood pressure was one of the risk factors to continue hemorrhage, SBP>200mmHg and DBP>110mmHg were more prone to continuous hemorrhage.3. The first head shown in the CT thalamic hemorrhage, bleeding amount is greater than20ml, hemorrhage rupturing into ventricle or irregular hematoma were more prone to continuous hemorrhage.