高血压脑出血术后脑梗死的防治  

Prevention and treatment of cerebral infarction following surgeries for hypertensive cerebral hemorrhage

作　　者：王勉[1] 高金华[1] 吴高远 钱洪波[1] 殷俊[1] 昂怀清 张春桦 张倩[1] 

机构地区：[1]安徽省安庆市第一人民医院神经外科,246000

出　　处：《中华神经医学杂志》2009年第1期64-66,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨高血压脑出血术后脑梗死的发病原因及临床救治措施。方法回顾性分析我院自2000年1月至2007年1月间收治的17例高血压脑出血术后腩梗死患者的临床资料。结果本组所有患者经治疗后按日常生活能力分级（GOS评分）：I级（能独立活动，无需帮助或指导）5例，Ⅱ级（能活动，但需指导）6例，Ⅲ级（需人帮助，扶拐可走）4例，Ⅳ级（卧床但保持意识）1例，Ⅴ级（植物生存）1例。结论脑梗死是高血压脑出血术后严重并发症之一，治疗复杂，早期诊断和防治是降低残死率、提高生存质量的关键。Objective To explore the etiology and clinical countermeasures for cerebral infarction following surgeries for hypertensive cerebral hemorrhage （HCH）. Methods The clinical data of 17 patients with cerebral infarction following surgeries for HCH treated in our department between January, 2000 and January, 2007 were analyzed retrospectively. Results All the patients received appropriate treatment and were subsequently rated for Glasgow Outcome Score （GOS）, which was grade I in 5 patients （capable of independent daily activities without assistance or instructions）, grade Ⅱ in 6 patients （capable of activities with instructions）, grade Ⅲ in 4 patients （activities requiring assistance and capable of assisted walking）, grade IV in 1 patient （bed-redden but conscious）, and grade V in 1 patient （vegetative state）. Conclusion As one of the severe complications of surgeries for HCH, cerebral infarction involves complex etiologies, and early diagnosis and comprehensive treatment are crucial for decreasing the mortality and disability rates to improve the quality of life of the patients.

关 键 词：脑卅血 高血压 脑梗死 并发症 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R544.1[医药卫生—临床医学]