高血压脑出血术后再出血的原因及预防

The Causes and Prevention of Postoperative Bleeding in Patients with Hypertension Cerebral Hemorrhage

目的 分析高血压脑出血患者术后再出血的原因及预防措施.方法 选取2009年8月-2013年8月我院收治的高血压脑出血患者120例,根据其有无再出血情况分为研究组（再出血患者）和对照组（未出血患者）,各60例.分析再出血发生的原因及相关预防措施.结果 研究组患者年龄≥60岁、出血距离手术时间＜6h、手术前后血压≥120/180 mm Hg、凝血块形状不规则、血管与脑组织受损以及术后出现躁动等不良情绪所占比例均高于对照组（P＜0.05）.结论 对高血压脑出血患者进行再出血相关原因的分析,并及早采取预防措施,可有效提高手术效果,降低患者临床病死率.

Objective To analysis the causes and prevention of postoperative bleeding in patients with hypertension cerebral hemorrhage. Methods 120 patients with hypertension cerebral hemorrhage admitted to our hospital from August 2009 to August 2013 were divided into groups research （rebleeding） and control （no bleeding） according to whether they had rebleeding, each of 60 cases. The causes and prevention of postoperative bleeding were analyzed. Results The proportion of age ≥60 years, bleeding from the operation time 〈 6 hours, blood pressure before and after operation ≥ 120/180 mm Hg, irregular blood clot, blood vessels and brain tissue damage and postoperative agitation in research group were higher than those of eontrol group （ P 〈 0. 05 ）. Conclusion To analysis the causes of postoperative bleeding in patients with hypertension cerebral hemorrhage and take prevention measures as early as possible, can effectively improve effect, reduce clinical mortality.