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探讨高血压脑出血与肝功能障碍之间的关系。方法:分析高血压脑出血、蛛网膜下腔出血和脑梗死患者的肝功能变化,比较分析不同肝功能患者部分凝血参数的变化。结果:脑出血组发生肝功能障碍者28例(23.8% ),蛛网膜下腔出血组5 例(7.6% ),脑梗死组4 例(7.4% ),脑出血组与其他2 组比较有显著性差异(P均< 0.05)。脑出血合并肝功能障碍者血小板计数、纤维蛋白原、α抗纤维蛋白溶酶、抗凝血酶 Ⅲ等与肝功能正常者比较有显著性差异(P均< 0.05)。结论:脑出血合并肝功能障碍者出血量、病死率随肝功能障碍的严重程度增加;对高血压患者检查肝功能变化及对脑出血患者补充凝血因子,对治疗是有益的
To investigate the relationship between hypertensive intracerebral hemorrhage and liver dysfunction. Methods: The changes of liver function in patients with hypertensive intracerebral hemorrhage, subarachnoid hemorrhage and cerebral infarction were analyzed, and the changes of partial coagulation parameters in different liver function were analyzed. Results: 28 cases (23.8%) had hepatic dysfunction in brain hemorrhage group, 5 cases (7.6%) in subarachnoid hemorrhage group, 4 cases (7.4%) in cerebral infarction group, The other two groups were significantly different (P all <0.05). There were significant differences in platelet count, fibrinogen, α-plasmin and antithrombin Ⅲ between patients with ICH and those with normal liver function (all P <0.05). Conclusions: The amount of bleeding and mortality in patients with ICH complicated with liver dysfunction increase with the severity of liver dysfunction. Checking the changes of liver function and supplementing coagulation factors in ICH patients is helpful for the treatment