Intracerebral Hemorrhage With Pleural Effusion In The Pathogenesis And Therapy

Intracerebral hemorrhage (Intracerebral hemorrhage) accounts for10%to20%of all cerebral vascular diseases, the mortality rate of90.0%, is the leading cause ofdeath of cerebrovascular disease. Intracerebral hemorrhage complicated by pleuraleffusion no clinical reports at home and abroad, the authors suggest that thepathogenesis of intracerebral hemorrhage complicated by pleural effusion neurogenicpulmonary edema, acute increased intracranial pressure caused by Cushing reaction,blood pressure, pleural capillaries static water pressure increased, hypoproteinemiacaused a vicious circle colloid osmotic pressure within the pleural capillaries reduceaggravation pleural effusion, pleural effusion clinical manifestations of neurogenicpulmonary edema.This article by rating factor data on the early effects of intracerebral hemorrhagecomplicated by pleural effusion were statistically analyzed to investigate thepathogenesis of pleural effusion, and provide a theoretical basis for the clinicaltreatment of clinical significance.All intracerebral hemorrhage affect the data of each assessment factor theassessed factor in the application SPSS17.0statistical software for statistical analysis,to come to the chi-square test and P-value results. P <0.05was significantlystandards.Results:(1) acute phase (3days) with pleural effusion, accounted for89.95%of theincidence of intracerebral hemorrhage; intracerebral hemorrhage in the subacutephase (3days) with pleural effusion, morbidity, accounting for10.05%; acute cerebralhemorrhage (3days) pleural effusion mortality, accounting for70.83%; Therefore,intracerebral hemorrhage the pleural effusion incidence and mortality wassignificantly higher compared the subacute phase morbidity and mortality, with astatistically significant (P <0.05).(2) pleural effusion group compared with the mortality rate of the pleuraleffusion group found24deaths,219cases of intracerebral hemorrhage patients withpleural effusion (10.96%), not220cases of intracerebral hemorrhage complicated bypleural effusion patient death cases (00.00%), and the mortality rate between the twosignificant differences (P <0.05).(3) The risk of intracerebral hemorrhage other complications (gastrointestinalbleeding, lung infections) set of concurrent pleural effusion significantly higherincidence of intracerebral hemorrhage is not complicated by other complications (gastrointestinal bleeding, lung infections) group, and the incidence of The differencewas statistically significant.Conclusion:(1) pleural effusion is the most common complication of intracerebralhemorrhage has not been reported.(2) The results show that: the disturbance of consciousness Japan3-3-9degreegrade, shift of midline structures, bilateral pupil sizes, hemorrhage broken intoventricles system Cushing (Cushing) reaction, hypoproteinemia as intracerebralhemorrhage complicated with pleural effusion early impact assessment factors,clinical determine whether patients with intracerebral hemorrhage may becomplicated by pleural effusion one of the bases.(3) Intracerebral hemorrhage with pleural effusion, the mortality rate wassignificantly higher in patients with a poor prognosis.(4) The risk of intracerebral hemorrhage other complications (gastrointestinalbleeding, lung infections) significantly higher incidence of pleural effusion.(5) The pathogenesis of intracerebral hemorrhage complicated by pleuraleffusion:1) neurogenic pulmonary edema resulting in pleural effusion.2) acuteintracranial pressure increased induced Cushing reaction, blood pressure increasedhydrostatic pressure within the pleural capillaries, resulting in pleural effusion.3) thehypoproteinemia cause colloid osmotic pressure within the pleural capillariesresulting in pleural effusion. Hypoproteinemia while heavier pleural effusion creatinga vicious cycle. Pleural effusion clinical manifestations of neurogenic pulmonaryedema.(6) Diagnosis of pleural effusion Intracerebral hemorrhage In addition to relyingon the clinical performance characteristics should be routine early in a timely mannerwith chest CT diagnosed. We advocate that the intracerebral hemorrhage patientsshould be routinely performed chest CT examination, early detection of pleuraleffusion in a timely manner.(7) The risk of intracerebral hemorrhage on the treatment of pleural effusion,pleural effusion in the treatment of intracerebral hemorrhage and timely treatment.Should be early medication, therapy, treatment of intracerebral hemorrhage, while thetreatment of pleural effusion, do both. intracerebral hemorrhage hypoproteinemiapatients with pleural effusion, replenish albumin, blocking the vicious cycle ofincreased pleural effusion.