临床神经外科杂志Issue(1)：66-68,3.DOI:10.3969/j.issn.1672-7770.2015.01.019
高血压脑出血术后再出血的原因分析
Clinical analysis of postoperative rebleeding after surgery for hypertensive intracranial hemorrhage
王贤 1陈罡 2葛志强 2时飞2
作者信息
- 1. 213200金坛市人民医院脑外科
- 2. 苏州大学附属第一医院神经外科
- 折叠
摘要
Abstract
Objective To explore the causes of rebleeding after hypertensive intracranial hemorrhage surgery and find the prevention and treatment methods of it .Methods The clinical date of 712 patients with hypertensive intracranial hemorrhage were underwent the operation in our hospital from August 2003 to August 2012 were analyzed retrospectively .The chi square test was used to analysis the causes of rebleeding .Results 46 patients experienced postoperative rebleeding in 2 weeks,accounting for 6.46%.87%postoperative rebleeding happened within 48 hours. Abnormal blood coagulation function after surgery , history of hypertension more than 10 years,hemorrhage located in the cerebellar ,ultra-early surgery ,sudden rise in blood pressure were important causes of rebleeding .Conclusion It is important to prevent rebleeding by correcting blood coagulation function , proper opportunity for surgery , intraoperative careful hemostasis ,intensive care and maintain a stable blood pressure after surgery .关键词
高血压脑出血/术后再出血/危险因素Key words
hypertensive intracerebral hemorrhage/postoperative rebleeding/risk factor分类
医药卫生引用本文复制引用
王贤,陈罡,葛志强,时飞..高血压脑出血术后再出血的原因分析[J].临床神经外科杂志,2015,(1):66-68,3.
