高血压脑出血术后脑梗死的防治  

Cerebral infarction following operation of hypertensive cerebral hemorrhage

作　　者：宋洋[1] 崔益钿[1] 万青[1] 蔡廷江[1] 江小伟[1] 王栋[1] 

机构地区：[1]徐州解放军第97医院神经外科,徐州221004

出　　处：《国际外科学杂志》2010年第10期665-667,共3页International Journal of Surgery

摘　　要：目的探讨高血压脑出血术后脑梗死的原因及防治措施。方法回顾性分析江苏徐州解放军第97医院神经外科61例高血压脑出血术后脑梗死患者的病历资料。结果全组6l例，死亡15例。按日常生活能力（ADL）分级标准：Ⅰ级10例，Ⅱ级11例，Ⅲ级14例，Ⅳ级8例，V级3例。结论脑出血术后脑梗死的发生与血肿挤压、血管痉挛、高血压病、术中操作及术后治疗相关。超早期手术、娴熟的手术技巧、高压氧治疗是防治脑出血后脑梗死的重要措施。Objective To analyze the reasons and treatment measures of cerebral infarction following op- eration of hypertensive cerebral hemorrhage. Methods Sixty-one patients with cerebral infarction following operation of hypertensive cerebral hemorrhage were retrospectively analyzed. Results The outcome was evaluated on basis of activities of daily lives （ADL） ： Ⅰ 10 cases, Ⅱ 11 cases, Ⅲ 14 cases, Ⅳ 8 cases, Ⅴ 3 cases and death 12 cases. Conclusions The occurrence of cerebral infarction following operation hyperten- sive cerebral hemorrhage is associated with degree of the hemorrhage compression, vasospasm, hypertension, operative skill and postoperative management. The early operation, improved operative skill and hyperbaric oxygenation are the important factors for the prophylaxis and treatment of cerebral infarction.

关 键 词：高血压脑出血 脑梗死 预防与治疗 

分 类 号：R651.1[医药卫生—外科学]