Analysis of the factors for accelerating death of hypertensive intracerebral hemorrhage patients within 72 hours in the emergency department

XU Si-yuan; HU Zu-peng; ZHAO Yan-wei

doi:10.3969/j.issn.1002-1949.2015.10.013

Abstract：Objective The purpose of this study was to analyze the clinical features of the deaths of hypertensive cerebral hemorrhage patients in the emergency room who were the first time to confirm the diagnosis within 6 hours from the onset and to discuss the factors for accelerating death . Methods According the time of death , 165 cases of hypertensive intracerebral hemorrhage patients was divided into two groups, one was dead within 72 hours, one was after.The basic characteristics of the two groups ( age, gender, BMI, diabetes history, smoking history, drinking history, history of hyperlipidemia , taking anticoagulants history ) , clinical characteristics ( temperature , plasma osmolality , random blood glucose , systolic blood pressure after one hour treatment , coagulation ) and Hemphill score are compared.Results INR(P=0.027) and systolic blood pressure after one hour treatment (P<0.01)and GCS score (P=0.011)were important factors to accelerate death.Age(P<0.01), BMI (P=0.010), alcoholism(P<0.01), body temperature(P=0.036), plasma osmolality(P<0.01), hemorrhage≥30 mL (P<0.01)and infratentorial ICH origin(P=0.025), Hemphill score(P<0.01) were related with the rapid death within 72 hours.Conclusion Body temperature, blood pressure, plasma osmolality should be controlled and Hemphill score ( age, GCS score, hemorrhage≥30 ml and infratentorial ICH origin), obesity, alcoholism, and coagulation should be accessed by the emergency physicians when treating the hypertensive cerebral hemorrhage patients , in order to ensure a positive and reasonable treatment , rational use of medical resources , while guide to good communication , and improve the cost-effectiveness of treatment .