高血压脑出血术后脑梗塞临床救治分析

Diagnose and Treatment of Cerebral Infarction Following Surgery for Hypertensive Cerebral Hemorrhage

目的探讨高血压脑出血术后脑梗塞的发病原因及临床救治措施。方法回顾性分析我院2000年1月至2007年1月间收治的11例高血压脑出血术后脑梗塞病例的临床资料。结果本组所有病例治疗后按日常生活能力分级:Ⅲ级5例,Ⅳ级2例,Ⅴ级1例,死亡3例。结论脑梗塞是高血压脑出血术后严重并发症之一,潜在致病因素复杂。完善综合治疗措施对降低患者死亡率、伤残率,提高其生存质量十分重要。

Objective To explore the pathologenetic causes and clinical countermeasures of cerebral infarction following the surgery for hypertensive cerebral hemorrhage （HCH）. Method The clinical data of 11 patients with cerebral infarction following the surgery for HCH,who were treated in our department from January,2000 to January,2007,were analyzed retrospectively. Results Of 11 patients with cerebral infarction,5 belonged in grade Ⅲ of activities of daily living（ADL）,2 in grade Ⅳ,1 in grade Ⅴ,and 3 died. Conclusions The cerebral infarction,of which,the pathologenetic factors are very complex,is one of the most severe complications after the surgery for HCH. The comprehensive treatment may decrease mortality and disabled rate,and enhance survival quality in the patients with cerebral infarction after surgery for HCH.