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

Objective To investigate the clinical features,risk factors and treatment measures of early hematoma enlargement(HE)after intracerebral hemorrhage.Methods Four hundred and ninety-two 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 One hundred and fourteen patients in 492 had sustained hematoma increased and the incidence was 23.17 percent.The patients with irregular hematoma,impaired liver function and renal function,excessive alcohol intake in HE group were higher than that in hematoma stable group.There was significant difference in two groups(P0.05).Conclusion Hematoma enlargement in ICH most occurs in 24h.Excessive alcohol intake,liver function and renal function impairment may be the main risk factors of hematoma increased.