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hematoma enlargement-related factors in hypertensive cerebral hemorrhage

Neural Regeneration Research 2008年第8期3卷 925-928页

作者： Dengji Pan Zhouping Tang Feng Xu Di Chen Xingyong Chen Xiangwu Meng Suiqiang Zhu Wei Wang Department of Neurology Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology Wuhan 430030 Hubei Province. China

BACKGROUND：Continuous hemorrhage or hematoma enlargement often occurs following cerebral hemorrhage attacks. OBJECTIVE： To retrospectively analyze the influential factors for hematoma enlargement in patients with hypertensive cerebral hemorrhage prior to minimally invasive surgery. DESIGN, TIME AND SETTING： A comparative analysis of 90 patients with cerebral hemorrhage undergoing minimally invasive surgery at the Department of Neurology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology between April 2005 and February 2007. PARTICIPANTS： Fifty-eight males and thirty-one females aged （52.7 ± 5.23） years （range, 28-73 years）. METHODS： Cranial CT was performed twice to objectively identify hematoma enlargement. Patients with hematoma enlargement prior to surgery were selected as the observation group （n = 30）, and those with no obvious hematoma changes served as the control group （n = 60）. Following cranial CT localization, the two groups underwent minimally invasive hematoma aspiration and drainage, according to Standardized Treatment Guidelines for Micro-invasive Aspiration and Drainage of Intracranial hematoma. MAIN OUTCOME MEASURES： Hemorrhage site, coagulation function, diabetes history, and clinical symptoms. RESULTS： There were no significant differences in hemorrhage sites between the two groups （χ2 = 2.262, P 〉 0.05）. The percent of intemperance patients in the observation group was significantly larger than the control group （χ2 = 6.923, P 〈 0.01）. No significant differences in terms of percent of coagulation dysfunction or diabetes were determined between the two groups （χ2 = 0.03, 0.08, P 〉 0.05）. The percent of patients with clinical deterioration was significantly higher in the observation group, compared to the control group （χ2 = 25.57, P 〈 0.01）. CONCLUSION： Intemperance and preoperative clinical deterioration may increase incidence of hematoma enlargement prior to minimally invasive surgery in patients with hyper

关键词： cerebral hemorrhage hematoma enlargement intemperance

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Electrocardiogram changes during hematoma enlargement in intracerebral hemorrhage patients

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Neural Regeneration Research 2008年第9期3卷 1030-1033页

作者： Zhouping Tang Di Chen Xingyong Chen Xiangwu Meng Xuewei Xie Xiang Luo Suming Zhang Department of Neurology Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan 430030Hubei Province China

BACKGROUND： It has been reported that cerebrovascular disease causes changes in electrocardiogram results. OBJECTIVE： To investigate changes in electrocardiogram results in patients with intracerebral bematoma enlargement. DESIGN, TIME AND SETTING： The present case-retrospective analysis study was performed at the Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology from January 2005 to October 2006. PARTICIPANTS： A total of 225 intracerebral hemorrhage patients （142 males and 83 females） that were hospitalized at the Department of Neurology were enrolled the present study. The patient selection was in accordance with diagnostic criteria from the Fourth National Cerebrovascular Disease Congress of China in 1995, and diagnosis was confirmed using computed tomography. All patients underwent computed tomography twice within 24 hours following intracerebral hemorrhage, and were subjected to electrocardiogram examination after admission. METHODS： According to hematoma enlargement following intracerebral hemorrhage, all patients were divided into hematoma enlargement （n = 20） and non-hematoma enlargement （n = 205） groups. Because of the large patient number difference between the two groups, the hematoma enlargement group was matched with the non-hematoma enlargement group. Patients meeting these conditions were included in the non-hematoma enlargement group. Finally, 75 patients were included in the final analysis, 19 in the hematoma enlargement group and 56 in the non-hematoma enlargement group. Clinical data from the two groups were statistically analyzed. MAIN OUTCOME MEASURES： The incidence of electrocardiographic abnormalities between the hematoma enlargement and non-hematoma enlargement groups. RESULTS： In the hematoma enlargement group, 15 patients （79%） developed electrocardiographic abnormafities. In the non-hematoma enlargement group, 24 patients （43%） presented with electrocardiographic abnormalities.

关键词： brain-heart syndrome electrocardiogram hematoma enlargement intracerebral hemorrhage

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Can Herbal Medicine Cause hematoma enlargement of Hypertensional Intracerebral Hemorrhage Within 24hrs Time Window? A Retrospective Study of256 Cases from a Single Center in China

Can Herbal Medicine Cause Hematoma Enlargement of Hypertensi...

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第十四届全国中药和天然药物学术研讨会

作者： Yafa Xu Jianwen Guo Xian Liu Juehui Li Jing Wang Lingbo Hou Guangdong Provincial Hospital of Traditional Chinese Medicine

Background hematoma enlargement occurs in up to two third of acute intracerebral hemorrhage（AICH）patients within 24 hours from *** hematoma is often accompanied by the severe morbidity and *** medicine of promoting blood circulation（PBC） and resolving blood stasis（RBS） were often medicated to treating AICH in China,though safety data about hematoma enlargement were rarely *** To study the relationship between hematoma enlargement and herbal medicine of PBC and RBS medicated in AICH patients within 24 hours from *** A retrospective review was performed of consecutive patients presenting with AICH within 24 hours of ictus presenting between March 2008 and March 2013 who were diagnosed as Hypertensional intracerebral hemorrhage by CT *** patients’ raw data were collected which contented human demography,medical history,personal history,clinical feather,CT scan,laboratory examination,herbal medicine *** divided into hematoma enlargement group and non hematoma enlargement ***,univariate analysis on the above factors,then let early PBC and RBS herbal drugs application as independent valuables,hematoma growth as outcome variable（dependent variable）,Logistic regression was used to investigate possible multiple risk factors for growth in hemorrhage volume from baseline to 24 *** Of the 256 patients who matched study inclusion standard,43 patients hematoma were enlarged（16.8%） within 24 hrs from onset between March 2008 and March *** number of the patients who did not take PBC or RBC herbal medicine,took the PBC herbal medicine,took RBS herbal medicine were 19（44.2%）,2（4.7%）,22（51.2%） in hematoma enlargement group and 78（36.6%）,26（12.2%）,109（51.2%） in non- hematoma enlargement group,*** were no significantly difference between two groups P=0.671).PBC herbal medicine use（OR,0.312;P=0.197） or RBS herbal medicine use（OR,0.975;P=0.946）was not independent risk *** the other han

关键词： Intracerebral Hemorrhage hematoma enlargement herbal medicine promoting blood circulation removing blood stasis

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