Of surgical treatment of hypertensive cerebral hemorrhage Analysis of prognostic factors.docVIP

 PAGE \* MERGEFORMAT 11 Of surgical treatment of hypertensive cerebral hemorrhage Analysis of prognostic factors Of: Yanghuan Song, Zhu Xinhong, HU Ji-real, Li YC, Zhang Fengju [Abstract] Objective To investigate the impact of surgical treatment of hypertensive cerebral hemorrhage prognosis factors. Methods Retrospective analysis of 354 cases of hypertensive intracerebral hemorrhage patients surgical treatment. Results 55 cases of good recovery, 136 patients with moderate disability, severe disability 69 cases, plant survival of 28 patients, 66 patients died. GCS scoregt; 9 points were bleeding volume lt;60 ml are better prognosis (P lt;0.05 or lt;0.01); putaminal hemorrhage and thalamic hemorrhage mortality is relatively high, respectively, reached 17.7% (34/192) and 22.6% (30/133), the prognosis is relatively poor. not broken into the ventricle in patients with bleeding, early surgery (6 hours), “70-year-old relatively good prognosis (P lt; 0.05 or lt;0.01). the state of consciousness, bleeding site, the size of bleeding, bleeding into the ventricles is broken, operation time and age is the surgical treatment of hypertensive cerebral hemorrhage in the main prognostic factors. [Keywords:] cerebral hemorrhage; surgical treatment; prognosis Hypertensive intracerebral hemorrhage is a common neurosurgical diseases, such as CT and MRI imaging technology widely used, the diagnosis of hypertensive cerebral hemorrhage rates improved, and can accurately locate and quantitative, thus increasing treatment of hypertensive cerebral hemorrhage increase. In recent years, surgical treatment has increased, but the prognosis is not optimistic. for the surgical treatment of hypertensive cerebral hemorrhage prognostic factors, the author of our hospital in January 2005 ~ December 2009 admitted 354 patients with hypertensive intracerebral Surgical treatment of hemorrhage were retrospectively analyzed, are as follows. Materials and Methods 1. General The 183 cases