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高血压脑出血术后再出血的多因素分析

陈东辉 程宏伟

安徽医科大学学报Issue(6):873-875,876,4.
安徽医科大学学报Issue(6):873-875,876,4.

高血压脑出血术后再出血的多因素分析

Multivariate analysis on recurrent hemorrhage after operation of hypertensive intracerebral hemorrhage

陈东辉 1程宏伟2

作者信息

  • 1. 安徽医科大学第一附属医院神经外科,合肥 230022
  • 2. 安徽医科大学附属六安医院神经外科,六安 237005
  • 折叠

摘要

Abstract

To analyze the influence of related factors on recurrent hemorrhage after operation of hypertensive intrac-erebral hemorrhage,and investigate the countermeasures against recurrent hemorrhage. 124 patients with surgical treated hypertensive intracerebral hemorrhage were analyzed retrospectively. Logistic regression analysis was applied to analyze the function of various possible factors that might induce recurrent hemorrhage. The incidence of recur-rent postoperative hemorrhage was 16. 1% . Univariate logistic analysis disclosed that timing of operation,the hem-orrhage site and coagulation factor disorders,difficulties met during the operation and inadequate hemostasis,and postoperative blood pressure fluctuation were significantly related with recurrence of hemorrhage(P < 0. 05). Multi-variate logistic regression analysis showed that timing of operation,difficulties met during the operation and inade-quate hemostasis and postoperative blood pressure fluctuation were risk factors of recurrent hemorrhage(P < 0. 05). The optimal operative time,strict hemostasis in operation and appropriate postoperative blood pressure control are important measures in preventing recurrent hemorrhage.

关键词

高血压脑出血/手术/再出血/病因/预防

Key words

hypertensive intracerebral hemorrhage/operation/recurrent hemorrhage/risk factors/prevention

分类

医药卫生

引用本文复制引用

陈东辉,程宏伟..高血压脑出血术后再出血的多因素分析[J].安徽医科大学学报,2015,(6):873-875,876,4.

基金项目

十二五国家科技支撑计划课题 ()

安徽医科大学学报

OA北大核心CSTPCD

1000-1492

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