检验医学与临床2016，Vol.13Issue(23)：3329-3330,3333,3.DOI:10.3969/j.issn.1672-9455.2016.23.017
不同手术方式对超早期高血压脑出血患者术后再出血的影响
Effect of different surgical methods on the postoperative bleeding in patients with hypertensive intracerebral hemorrhage
周龙 1刘美霞 2邓民强 1潘轲1
作者信息
- 1. 湖北省恩施土家族苗族自治州中心医院神经外科 445000
- 2. 湖北省恩施土家族苗族自治州中心医院神经内科 445000
- 折叠
摘要
Abstract
Objective To investigate the effects of different surgical methods on the postoperative bleeding of patients with hy‐pertensive cerebral hemorrhage .Methods Totally 112 patients with super early hypertensive cerebral hemorrhage who were treated in this hospital from December 2014 to August 2016 were selected as study subjects ,and randomly divided into observation group and control group ,the observation group underwent minimally invasive hematoma drainage ,the control group was treated by small bone flap craniotomy ,the incidence of postoperative bleeding ,postoperative complication rate and postoperative daily life ability (ADL) classification were compared between the two groups .Results There was no significant difference between the observation group and the control group in the postoperative bleeding rate and the mortality rate (P>0 .05) .There was no significant difference in the incidence of intracranial infection ,pulmonary infection and stress ulcer between the observation group and the control group (P>0 .05) .Compared with the control group ,in observation group ,the proportion of Ⅰ‐grade of life skills level increased signifi‐cantly ,the proportion of Ⅴ‐grade decreased significantly ,the difference was statistically significant (P<0 .05) ,there was no signifi‐cant difference in the proportion of patients with Ⅱ‐grade and Ⅳ‐grade (P>0 .05) .Conclusion Patients with small bone flap cra‐niotomy in treatment of hypertensive cerebral hemorrhage patients with ultra early rebleeding after the occurrence of similar drain‐age of minimally invasive hematoma ,the surgical methods should be selected according to the specific patient .关键词
高血压脑出血/微创硬通道穿刺血肿引流术/骨瓣开颅血肿清除术/再出血Key words
cerebral hemorrhage/minimally invasive hematoma drainage/bone flap craniotomy/postoperative bleeding引用本文复制引用
周龙,刘美霞,邓民强,潘轲..不同手术方式对超早期高血压脑出血患者术后再出血的影响[J].检验医学与临床,2016,13(23):3329-3330,3333,3.
