Postoperative hypertensive intracerebral hemorrhage causes and prevention of rebleeding.docVIP

 PAGE \* MERGEFORMAT 12 Postoperative hypertensive intracerebral hemorrhage causes and prevention of rebleeding [Keywords:] hypertension; cerebral hemorrhage; rebleeding Surgical removal of hematoma in hypertensive cerebral hemorrhage is the most effective means of, but serious complications, postoperative bleeding that has not been solved. The author of our hospital January 1, 2000 to September 30, 2008 treatment of hypertensive cerebral hemorrhage analysis of clinical data in order to investigate the cerebral hemorrhage risk factors for postoperative bleeding, to find effective control measures to provide clinical evidence. 1 Materials and Methods 1.1 General Information 247 patients, male and 162 patients (65.59%), female 85 cases (34.41%), aged 42 to 76 (mean (+ -12.48 56.62)) years old, have a clear history of hypertension, consistent with the fourth Academic session of cerebrovascular disease diagnostic criteria developed by the Conference. bleeding site, including the basal ganglia (n = 114), thalamus (52 cases), cerebral lobe (81 cases). rebleeding occurred within postoperative 1 w, clinical manifestations of patients with unconsciousness increased level of limbs or paralysis, severe headache or frequent vomiting, increased tension vacuum windows, vacuum tube drainage increased, all patients were believed to be bleeding confirmed by head CT. 1.2 Methods course in patients with hypertension, blood loss, surgical time, surgical and postoperative blood pressure control, statistical analysis of the situation and observe these factors on postoperative hypertensive intracerebral hemorrhage rate of rebleeding. Which rebleeding 43 , no further bleeding 204; rebleeding rate of 21.1%. 1.3 statistical software, all data are used for statistical analysis SPSS11.5, count data using 2 test. 2 Results 2.1 The duration of hypertension and postoperative bleeding in patients with duration of hypertension in this group is greater than 10 years of 1