高血压脑出血术后再出血的原因分析  

Analysis on causes of postoperative rebleeding after operation for hypertensive cerebral hemorrhage

作　　者：刘滨[1] 崔佳嵩[1] 石传江[1] 王森[1] 刘帅[1] 

机构地区：[1]解放军第148医院神经外科,山东淄博255300

出　　处：《临床军医杂志》2015年第3期229-230,250,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨高血压脑出血术后再出血的原因。方法选择我院2010年7月—2014年2月收治的306例高血压脑出血患者作为观察对象,其中高血压脑出血术后再出血者42例(观察组),未再出血者264例(对照组),对两组患者的凝血功能、血压控制情况、手术时机及手术方式进行比较。结果术后再出血发生率为13.7%,观察组患者的凝血功能异常、血压控制欠佳及超早期手术等与对照组比较均存在统计学差异(P<0.05)。结论积极控制血压,正确把握手术时机,维持机体良好的凝血功能对预防高血压脑出血术后再出血有重要意义。Objective To explore the causes of postoperative rebleeding after operation for hypertensive cerebral hemorrhage.Methods A total of 306 patients with hypertensive cerebral hemorrhage,who were admitted to our hospital and operated from July2010 through February 2014,were enrolled in the analysis. The patients with and without postoperative rebleeding were divided into observation group（ n = 42） and control group（ n = 264）,respectively. Comparison on blood coagulation function,blood pressure control and operation time was done between the two groups. Results The incidence of postoperative rebleeding was 13. 7% in the patients with hypertensive cerebral hemorrhage. There were significant differences in blood coagulation function,blood pressure control and operation time between the two groups（ P〈0. 05）. Conclusion Positive control of blood pressure,as well as maintenance of blood coagulation function and grasp of operation time,is important in preventing the patients with hypertensive cerebral hemorrhage from postoperatively rebleeding.

关 键 词：高血压脑出血 术后再出血 手术方式 手术时机 凝血功能 

分 类 号：R743.34[医药卫生—神经病学与精神病学]