局解手术学杂志2018，Vol.27Issue(10)：711-714,4.DOI:10.11659/jjssx.08E018001
高血压脑出血术后再出血相关危险因素分析
Risk factors of postoperative rebleeding after hypertensive cerebral hemorrhage
摘要
Abstract
Objective To analyze the risk factors of postoperative rebleeding after hypertensive cerebral hemorrhage,and provide a basis for clinical prevention of postoperative recurrent hemorrhage. Methods The clinical data of 413 patients with hypertensive intracerebral hemorrhage in our hospital from January 2007 to December 2017 were retrospectively analyzed.The possible correlation factors of postopera-tive recurrent hemorrhage and the high-risk factors were collected and summarized. Results According to univariate unconditional logistic regression analysis, there was a significant correlation between systolic blood pressure, GCS score, bleeding volume, coagulation dysfunction and the use of sedative analgesics with the hypertensive cerebral hemorrhage after surgery(P<0.05);they were also the risk factors of post-operative rebleeding after hypertensive cerebral hemorrhage according to the multivariate unconditional logistic regression analysis (P<0.05). Conclusion The results indicate that there are many factors influencing postoperative rebleeding in patients with hypertensive cerebral hemorrhage.In the perioperative period,higher systolic blood pressure,deeper consciousness disorder,more bleeding,and coagulation dysfunction are independent factors influencing postoperative re-bleeding, and more attention should be paid to it.关键词
高血压脑出血/术后再出血/去骨瓣减压术/微创穿刺引流术/小骨窗开颅血肿清除术Key words
hypertensive cerebral hemorrhage/rebleeding/decompressive craniectomy/minimally invasive puncture and drainage/small bone window crainotomy hematoma removal分类
医药卫生引用本文复制引用
杨雪,潘金玉,魏利,张学应,鲜继淑..高血压脑出血术后再出血相关危险因素分析[J].局解手术学杂志,2018,27(10):711-714,4.基金项目
国家自然科学基金(81371340) （81371340）
