120例高血压脑出血患者手术治疗临床分析  

Clinical analysis of 120 patients with hypertensive cerebral hemorrhage treated by operation

作　　者：郭士琨[1] 申明峰[1] 姚宏伟[1] 刘永生[1] 

机构地区：[1]河南商丘市第一人民医院神经外科一病区,商丘476000

出　　处：《中国实用神经疾病杂志》2014年第22期36-37,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的：探讨高血压脑出血手术治疗的临床效果。方法对我科2010-05-2013-06收治的120例高血压脑出血患者的临床资料进行回顾性分析。结果随访6～24个月，采用GCS评分指标，良好（5分）31例，轻残（4分）46例，重残（3分）19例，植物生存（2分）15例，死亡（1分）9例。死亡原因为肺部感染、上消化道出血、多器官功能衰竭等。结论高血压脑出血患者应尽早手术，可以有效预防出现继发性脑损害，有利于术后神经功能及意识状态恢复。Objective To investigate the clinical effects of 120 patients with hypertensive cerebral hemorrhage treated by operation. Methods The data of 120 patients with hypertensive cerebral hemorrhage treated by operation from May 2010 to June 2013 were retrospective analyzed. Results After followed up for 6 to 24 months ,we found that there were 31 cases of good （5 points） ,46 cases of light residual （4 points） ,19 cases of heavy residual （3 points） ,15 cases of plant survival （2 points） and 9 cases of death （1 points）. The death reasons of patients were mainly lung infection ,upper gastrointestinal bleed-ing and multiple organ failure. Conclusion Patients with hypertensive cerebral hemorrhage should be operated to effectively prevent the secondary brain damage ,which is helpful for the recovery of neurological function and consciousness.

关 键 词：高血压脑出血 手术治疗 

分 类 号：R743.34[医药卫生—神经病学与精神病学]