The clinical analysis of risk factors on hematoma enlargement inpatients with intracerebral hemorrhage

Objective To investigate the risk factors of early hematoma enlargement (HE) after intracerebral hemorrhage and treatment measures. Methods Two hundred and nity-nine patients with intracerebral hemorrhage (ICH), according to clinical features and brain CT change, were divided into two groups ( HE group and stable group). The history of patients, clinical characteristics, biochemical parameters of blood and CT features were analyzed and compared in two groups. Results Sixty-nine patients in 299 had sustained hematoma increased and the incidence was 23 percent , of which 23 cases occurred within 24h .The patients with basal ganglia irregular hematoma ,permanent high blood pressure, impaired liver function, excessive alcohol intake and long-term oral antithrombotic drugs in HE group were higher than that in hematoma stable group.There was more significant difference in two groups(P﹤0.05). Conclusion Hematoma enlargement in ICH more occurs in 24h. Long-term oral antithrombotic drug, increased blood pressure after onset, liver function impairment may be the main risk factors of hematoma increased.