高血压脑出血开颅术后脑梗死临床诊疗分析

Clinical Research on Patients of Cerebral Infarction Following Surgery for Hypertensive Cerebral Hemorrhage

目的探讨高血压脑出血开颅术后脑梗死的发病原因及诊疗措施。方法回顾性分析2003-06—2012-06间收治的21例高血压脑出血术后脑梗死病例的临床资料。结果本组均获随访1个月,按日常生活活动能力(ADL)分级:Ⅲ级9例,Ⅳ级6例,Ⅴ级4例,死亡2例。结论脑梗死是高血压脑出血开颅术后严重并发症之一,致病因素复杂。及时明确诊断及完善综合治疗措施对降低患者病死率、伤残率至关重要。

Objective To explore the pathogenesis and clinical countermeasures for cerebral infarction following the surgery for hyper- tensive cerebral hemorrhage（HICH）. Methods The clinical data of 21 patients in our hospital with cerebral infarction following the surgery for HICH were analyzed retrospectively from June, 2003 to June, 2012. Results Totally 9 patients with cerebral infarction belonged to grade m of activities of daily living（ADL） , 6 in grade IV, 4 in grade V , and 2 died. Conclusion The cerebral infarction is one of the most severe com- plications after the surgery for HICH,and the pathogenesis are complex. The comprehensive treatment may reduce mortality,disabled rate and improve survival quality of ~he patients with cerebral infarction after surgery for HICH.