高血压脑出血术后再出血61例防治分析  

Clinical analysis of rehaemorrhage after surgery for hypertensive intracerebral hemorrhage:a report of 61 cases

作　　者：王士强[1] 

机构地区：[1]广州医学院附属深圳沙井医院神经外科,广东深圳518104

出　　处：《蚌埠医学院学报》2011年第4期379-381,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨高血压脑出血术后再出血的防治措施。方法:对61例高血压脑出血开颅血肿清除术后再出血病例的临床资料进行回顾性分析。结果:高血压脑出血术后再出血发生率为13.3%,再出血的主要临床表现为意识障碍加深、瞳孔变化及骨窗张力增高(去骨瓣患者),手术后血压仍持续增高且波动幅度大;70.5%的再出血发生在手术后24 h内。结论:术中妥善止血和术后保持血压平稳是避免和减少再出血的关键因素,及时诊断和手术治疗可挽救患者生命,提高生存质量。Objective：To explore the prevention and treatment of rehemorrhage after surgery for hypertensive intracerebral hemorrhage.Methods：The clinical data of 61 cases of rehaemorrhage after operation for hypertensive intracerebral hemorrhage were analyzed retrospectively.Results：The incidence of postoperative rehaemorrhage was 13.3%.The main clinical manifestations were aggravated disturbance of consciousness,altered pupils and uncontrolled blood pressure.Seventy point five percent of the rehemorrhage occurred whinin 24 hours after the operation.Conclusions：The essential factors to prevent rehemorrhage are controlling bleeding properly during operation and keeping stable blood pressure after operation.Prompt diagnosis and surgery may save the patients′ life and enhance their quality of life.

关 键 词：脑出血 高血压/并发症 再出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]