高血压脑出血术后再出血的相关因素及护理干预

Recurrent hemorrhage of postoperative hypertensive intracerebral hemorrhage related factors and nursing intervention

目的：探讨高血压脑出血术后再出血的危险因素护理干预。方法：对6l例高血压脑出血开颅血肿清除术后再出血病例的临床资料进行回顾性分析。结果：高血压脑出血术后再出血发生率为13．3％（61／457），再出血的主要，临床表现为意识障碍加深、瞳孔变化及骨窗张力增高（去骨瓣患者），手术后血压仍持续增高且波动幅度大；70．5％（43／61）再出血发生在手术后24h内。结论：再出血的主要原因为手术后血压高且波动幅度大及手术中止血不彻底，术中妥善止血和术后保持血压平稳是避免和减少再出血的关键因素。

Objective：Explore al. early postoperative bleeding risk factors to the nursing intervention. Methods：To summarize 61 case of resurgence hemorrhage of postoperative Hypertensive intracerebral hemorrhage. Results：Incidence of resurgence hemorrhage in postoperation was 13.3 %. Main clinicalmanifestation resurgence hemorrhage was that the disturbance of consciousness was enhanced, pupils were altered and the blood pressure could not be controlled stably. 70.5% cases with resurgence hemorrhage occurred in 24 hours. Conclusion： Main cause of resurgence hemorrhage was not stanch bleeding entirely during operation and blood pressure of the patients was unstable. Afteroperation, key factor of preventing the resurgence hemorrhage is controlling bleeding properly during operation and keeping blood pressure in stable condition in postoperation.