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微创颅内血肿抽吸引流术早期预后影响因素分析

杨波 王晶 温淼 宋新杰 刘丽萍 杨中华 赵性泉

中国卒中杂志Issue(11):947-953,7.
中国卒中杂志Issue(11):947-953,7.DOI:10.3969/j.issn.1673-5765.2015.11.008

微创颅内血肿抽吸引流术早期预后影响因素分析

Analysis of Factors Correlated with Early Prognosis of Minimal Invasive Hematoma Aspiration and Fibrinolysis

杨波 1王晶 2温淼 3宋新杰 4刘丽萍 1杨中华 2赵性泉3

作者信息

  • 1. 100050 北京首都医科大学附属北京天坛医院神经病学中心,神经重症病房
  • 2. 国家神经系统疾病临床医学研究中心,北京脑重大疾病研究院脑卒中研究所,脑血管病转化医学北京市重点实验室
  • 3. 国家神经系统疾病临床医学研究中心,北京脑重大疾病研究院脑卒中研究所,脑血管病转化医学北京市重点实验室
  • 4. 首都医科大学附属北京天坛医院神经病学中心,脑血管病中心
  • 折叠

摘要

Abstract

Objective To investigate the prognosis of supratentorial intracerebral hemorrhage afterminimal invasive hematoma aspiration and ifbrinolysis and ifnd out the inlfuential factors. <br> Methods Patients who were diagnosed as supratentorial intracerebral hemorrhage and underwent minimal invasive hematoma aspiration and ifbrinolysis in Beijing Tiantan Hosipital were enrolled from July 2010 to February 2014. Clinical data such as: risk factors of stroke, chemical examination of blood, clinical features and information of surgical procedure were collected. The prognosis (Glasgow score, GCS) at 30-day after operation/discharge from hospital were followed up, and Logistic regression analysis was used to ifnd out factors that inlfuence early prognosis. <br> Results Total 94 patients were enrolled in this study (60 were male), aged from 23 to 84 years (mean age 54.85±12.70). Sixty-two patients were alertness or mild consciousness disorders(GCS 13-15) (65.9%) at 30 day after operation/discharge from hospital, 32 patients were death or GCS≤12(34.1%). Logistic regression analysis showed that age, preoperative GCS were the independent predictors of prognosis. <br> Conclusion Minimal invasivehematoma aspiration and ifbrinolysis is a better minimally invasive method which deserves popularizing.

关键词

脑出血/微创颅内血肿抽吸引流术/治疗/预后

Key words

Cerebral hemorrhage/Minimal invasive hematoma aspiration andfibrinolysis/Treatment/Prognosis

引用本文复制引用

杨波,王晶,温淼,宋新杰,刘丽萍,杨中华,赵性泉..微创颅内血肿抽吸引流术早期预后影响因素分析[J].中国卒中杂志,2015,(11):947-953,7.

中国卒中杂志

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1673-5765

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