高血压脑出血术后再出血的诊治探讨

Clinical analysis of rebleeding after craniotomy for hypertensive intracerebral hemorrhage

目的探讨高血压脑出血术后再出血的相关因素。方法回顾性分析经手术治疗的232例基底节区高血压脑出血临床资料。结果 232例患者中,术后再出血33例(14.2%)。术后随访6个月,根据ADL分级法:Ⅰ级35例(15.1%)、Ⅱ级74例(31.9%)、Ⅲ级40例(17.2%)、Ⅳ级47例(20.3%)、Ⅴ级8例(3.4%)、死亡28例(12.1%)。结论影响高血压脑出血术后再出血的因素是多方面的,正确的血肿清除方法对预防再出血有重要意义。

Objective To investigate relevant factor about postoperative rebleeding of hypertensive hemorrhage. Methods Retrospective analysis of database of 232 patients undergoing craniotomy for hypertensive basal ganglia hemorrhage. Results Rebleeding occurred in 33 patients after operation,232 patients with a mean followed-up of 6 months were evaluated with use of the activities of daily living scale, the result was as follows,Class Ⅰ ：35 cases （15.1%） ,Class Ⅱ ：74 cases （31.9%） ,Class Ⅲ：40 cases （17.2%）,Class Ⅳ：47 cases （20.3%）,Class Ⅴ： 8 cases （3.4%）,death：28 cases （12.1%）. Conclusion It might have important significance for suitable surgical approach to take precautions against rebleeding, although postoperative rebleeding could be affect by various factor.