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目的观察立止血对脑出血(ICH)早期血肿增大的影响。方法对50例ICH患者随机采用早期立止血治疗和对照治疗,并进行动态CT观察,比较两组早期血肿增大发生率和病情好转率。结果6h治疗组血肿增大3例,对照组9例,差异有统计学意义(P<0.05);6～24h治疗组2例,对照组3例;24h两组皆未出现血肿增大。第15天疗效评定治疗组好转率明显高于对照组(P<0.05)。结论立止血可显著降低ICH患者早期血肿增大的发生率,并改善预后,提高ICH患者的生存率和治愈率。
Objective To observe the effect of hemostatic on hematoma in early stage of intracerebral hemorrhage (ICH). Methods Fifty patients with ICH were randomly divided into treatment group (n = 50) and control group (n = 50). Dynamic CT was performed to compare the incidence of early hematoma enlargement and improvement rate of disease in both groups. Results 6h treatment group, hematoma increased in 3 cases, 9 cases in the control group, the difference was statistically significant (P <0.05); 6 ~ 24h treatment group 2 cases, control group 3 cases; 24h 24h hematoma did not increase. On the 15th day, the curative rate in treatment group was significantly higher than that in control group (P <0.05). Conclusion Standing blood can significantly reduce the incidence of early hematoma in patients with ICH and improve the prognosis and improve the survival rate of ICH patients and cure rate.