摘要
目的:探讨老年高血压性脑出血术后大面积脑梗塞原因及预防措施。方法:收集1999~2006年间40例老年高血压脑出血术后大面积脑梗塞的临床资料,作回顾性分析。结果:40例术后大面积脑梗塞平均68.5岁。疗效评定:出院时按患者机能状态Karnofsky记分指标。(1)基本痊愈:80分以上9例;(2)显著进步:60~70分13例;(3)进步:60分以下13例;④死亡:5例。结论:大面积脑梗塞是高血压脑出血术后一种严重并发症,由一种或多种因素相互作用所致。处理不当,可影响手术疗效,甚至危及生命。
Objective:To explore the causes and their countermeasure of large area brain infarct after operation of hypertensive brain hemorrhage in senile patients.Methods:The data of 40 senile patients with large area brain infarct after operation of hypertensive brain hemorrhage,who were hospitalized in our department from 1999 to 2006,were studied retrospectively.Results:The av-erage age of these senile patients was 68.5 yrs.The curative effects were judged by patients'Kar-nofsky scores before discharging.In all patients,complete recovery(over 80 scores) was found in 9 cases,obvious recovery(from 60 to 70 scores) was in 13,mild recovery(less than 60 scores) was in 13 and 5 died.Conclusion:Large area brain infarct was a severe complication of hyperten-sive brain hemorrhage after operation,which could be caused by one or multiplicate reasons.The prognosis was poor if the patients did not receive proper treatments.
出处
《脑与神经疾病杂志》
2008年第4期331-333,共3页
Journal of Brain and Nervous Diseases
关键词
颅内出血
高血压性
脑梗塞
手术后并发症
预后
Intracranial hemorrhage,hypertensive Brain infarction Postoperative complications Prognosis