高血压脑出血术后脑梗死临床救治分析

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死的致病因素和临床救治措施。方法:收集并分析本院2003～2009年收治的9例高血压脑出血术后脑梗死患者的临床资料。结果:本组所有患者治疗后按ADL评分:ADLⅡ级2例,Ⅲ级3例,Ⅳ级2例,V级1例,死亡1例。结论:脑梗死是高血压脑出血术后的一种严重并发症,致病因素复杂。早期诊断、综合防治能降低高血压脑出血术后脑梗死患者的死亡率、伤残率,提高生存质量。

Objective：To explore the pathologenetic causes and clinical countermeasures of cerebral infarction following the surgery for hypertensive cerebral hemorrhage（HCH）.Methods：The clinical data of 9 patients with cerebral infarction following the surgery for HCH,who were treated in our department from 2003 to 2009,which were analyzed retrospectively.Results：9 patients with cerebral infarction,2 cases belonged in gradeⅡof activities of daily living（ADL）,3 cases in grade Ⅲ,2 cases in grade Ⅳ,1 cases in gradeⅤ,and 1 cases was died.Conclusion：Hypertensive cerebral is a serious complication after surgery for hypertensive cerebral hemorrhage,the pathogenic factors are very complex ,is one of the most severe complication safter the surgery for HCH.The forepart of diagnoses and comprehensive treatment may decrease mortality and disabled rate,and enhance survival quality in the patients with cerebral infarction after surgery for HCH .