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目的减少或预防蛛网膜下腔出血(Subarachnoid hemorrhage,简称SAH)再出血的发生。方法在2000年至2008年收治的144例SAH病例中,对36例再出血的危险因素进行分析,并探讨预防对策。结果高血压、用力排便、剧烈咳嗽、情绪波动、患者过早下床活动等是SAH再出血的主要危险因素。结论重视血压的控制,保持环境安静,保持稳定良好的情绪及严格绝对卧床休息4~6周,预防感冒是预防SAH再出血的重要环节。
Objective To reduce or prevent the occurrence of rebleeding of subarachnoid hemorrhage (SAH). Methods From 144 cases of SAH admitted from 2000 to 2008, the risk factors of rebleeding were analyzed and the preventive measures were discussed. Results Hypertension, forced defecation, severe cough, mood swings, early ambulation in patients were the main risk factors for SAH rebleeding. Conclusions It is an important part of prevention of rebleeding of SAH to pay attention to the control of blood pressure, keep the environment quiet, maintain stable and good mood and strictly stay in absolute bed for 4-6 weeks.