高血压脑出血血肿抽吸引流术术后再出血和死亡的分析

The Analyse of Cause in Postsurgery Recurrent Hemorrhage and Death of Stereotactic CT-gurded Drain and Aspiration on Hypertensive Intracerebral Hemorrhage

目的 观察高血压脑出血内科保守治疗和血肿抽吸引流后再出血的发生率和死亡率,分析再出血原因,评价该治疗方法。方法 比较41例血肿大于35ml基底节脑出血行血肿抽吸引流治疗的患者再出血的发生率及死亡率,并与79例保守治疗相同标准患者对比分析。结果 手术组再出血率较保守组高,一周内死亡率两者无差异,一月内死亡率较保守组低(P<0.05),平均住院日缩短(P<0.01)。结论 再出血是血肿抽吸引流的主要死亡原因,但该手术可缩短病程,降低死亡率。

Objective To observe the recurrent hemorrhage and mortality rates by stereotactic CT-guided drain and aspiration and medecine on hypertensive intracerebral hemorrhage, disuss the cause of recurrent hemorrhage and evalute the treatment of surgery. Methods Recurrent hemorrhage and death rates of forty-one hypertensive intracerebral hemor-rhagic patients were observed, whose hemotoma volume was more than 35ml and was treated by stereotactive CT-guided drain and aspiratron. Seventy-nine indentical typical patients by medicine were compared. Results The recurrent hemorrhage of surgical patinets was higher than non surgery patients (P < 0.05). The one-week death rate had no difference, one-month death rate was lower in the surgery group, while mean time in hospital was shorter. Conclusion Recurrent hemorrhage is the main cause death of the surgery, but the surgery can shorten the course of diseas,reduce the death rate and complication.