降低高血压脑出血术后死亡的几点体会

Analysis of case of death after hypertensive intracerebral hemorrhage operation

目的 :总结降低高血压脑出血病人术后病死率的方法。方法 :分析 36例高血压脑出血病人救治经过。结果 :36例中死于肺部感染 9例 ,再出血 7例 ,消化道出血 6例 ,术后颅高压未解除 5例 ,肾功能衰竭 5例 ,其他 4例。结论 :严格掌握高血压脑出血手术指征 ,选择正确手术方法 ,术后合理用药及护理能降低高血压脑出血手术后病死率 ,改善预后。

Objective:To summarise the cause of death of 36 cases after hypertensive intracerebral hemorrhage operation. Methods:Chinical data of 36 patients who had undergone hypertensive intracerebral hemorrhage operation were analysed. Results :Nine of the 36 patients died of lung infection; seven of hemorrhage again; six of digestive tract hemorrhage; five of unrelieved skull high pressure; five of kidney exhaustion; and other four of other causes. Conclusion: Mastering the indications of operation strictly, correct choice of operating methods, proper administration and nursing can reduce the death rate of hypertensive intracerebral hemorrhage operation, and improve the effect of treatment.