高血压脑出血术后再出血的危险因素  

The risk factors of the recurrence of hypertensive brain hemorrhage

作　　者：李阳平[1] 刘光宇[1] 秦义民 王晓龙[1] 赵林[1] 李兵桥 呼和巴特尔[1] 

机构地区：[1]内蒙古通辽市医院神经外科,内蒙古通辽028000

出　　处：《中国民康医学》2007年第24期1043-1043,1118,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨高血压脑出血术后再出血的危险因素及防治措施。方法:回顾近12年间收治的436例高血压脑出血病人,对68例再出血病人的临床资料进行分析。结果:术后再出血发生率为15.6%(68/436),病死率为33.8%(23/68)。结论:高血压脑出血术后再出血的主要因素为术中止血不彻底,术后血压波动较大。故术中彻底止血及术后将血压控制平稳是避免和减少再出血的重要因素,是减少死亡率和致残率的关键。Objective： To investigate the risk factors and the surgical managements of the recurrence of hypertensive brain hemorrhage（ HBH）. Methods： A total of 436 eases with HBH during 12 years in our hospital were analyzed and 68 eases of them suffered from recurrent brain hemorrhage. Results： Incidence of resurgence hemorrhage in postoperation was 15.6% （ 68/436 ）, the death rate was 33.8 % （ 23/68 ）. Conclusion： The main causes of resurgence hemorrhage was not stanch bleeding entirely during the operation and the blood pressure of the patient was unstable. To reduce the disability rate and the death rate and prevent the resurgence hemorrhage, the key factors are controlling the bleeding properly during the operation and keeping the blood pressure in stable condition in postoperation.

关 键 词：高血压脑出血 术后 再出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]