山东医药2012，Vol.52Issue(36)：42-44,50,4.
高血压性脑出血微创术后继续出血危险因素分析
Risk factors for minimally invasive postoperative bleeding of hypertensive intracranial hemorrhage
郭仕峰 1郝培来 1薛彦忠 1李秀秀 1庄肃敬1
作者信息
摘要
Abstract
Objective To explore the impact of risk factors for postoperative bleeding in minimally invasive hematoma puncture of hypertensive intracerebral hemorrhage (ICH). Methods A total of 98 patients treated by minimally invasive hematoma puncture were included in the research. All patients after surgery were divided into two groups by bleeding or whether. 20 patients with continue bleeding after surgery was the case group, the control group was the 78 patients without bleeding. Clinical data of patients were statistically analyzed by using SPSS statistical analysis software. Results ① ICH Score, GGT, systolic blood pressure (SBP) , glucose (GLU) , daily alcohol consumption and the original issued amount of blood were higher than those in the control group, but the FIB were decreased, P < 0. 05 or P < 0.01. ALT and AST and diastolic blood pressure ( DBP) , CH, TG and LDL in the case group were increased compared with the control group, HDL in the case group was decreased (P > 0.05). ② Time of onset to surgery time in case group was shorter than the control group (P < 0.01). ③ Hematoma irregular shape in case group was higher than that in the control group (P < 0.05). ④ Restless patient in case group was increased than that in the control group (P <0. 05). ⑤ Postoperative bleeding was positive correlated with ICH score, GGT, SBP, daily alcohol consumption, the original issued amount of blood by analyzed by Spearman' s rank correlation analysis. Postoperative bleeding was negative correlated with onset to surgery time, hematoma form, FIB, no correlaiton with GLU. Conclusions Postoperative bleeding in patients given minimally invasive intracranial hematoma puncture is related especially with puncture within 6 hours, the increased SBP and restlessness before and after surgery. While patients with chronic alcoholism, abnormal liver function or low fibrinogen levels are probability of postoperative bleeding.关键词
微创穿刺手术/高血压性脑出血/继续出血/危险因素Key words
minimally invasive surgery/ hypertensive intracerebral hemorrhage/ continue bleeding/ risk factors分类
医药卫生引用本文复制引用
郭仕峰,郝培来,薛彦忠,李秀秀,庄肃敬..高血压性脑出血微创术后继续出血危险因素分析[J].山东医药,2012,52(36):42-44,50,4.
