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Rebleeding after hypertensive intracerebral hemorrhage causes and countermeasures
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Rebleeding after hypertensive intracerebral hemorrhage causes and countermeasures
[Abstract] Objective To investigate the hypertensive cerebral hemorrhage after surgery because of bleeding again, and prevention measures. Methods Retrospective analysis of 18 cases of hypertensive cerebral hemorrhage Clinical data from cases of rebleeding. Results 136 patients with cerebral hemorrhage bleeding after surgery, 18 cases of rebleeding and blood pressure, surgical operation, surgical time, mannitol, improper application and other factors. Conclusion hypertensive cerebral hemorrhage improve understanding of rebleeding, and actively developing control measures will help to improve the prognosis of patients and improve the life quality of life .
[Keywords:] cerebral hemorrhage, postoperative bleeding
Rebleeding after hypertensive cerebral hemorrhage is the most dangerous complications, and is the leading cause of death after surgery. To investigate the cerebral hemorrhage related factors of postoperative bleeding and prevention measures, now 1, 2000 January to December 2006 136 cases of surgical treatment of 18 cases of cerebral hemorrhage in cases of postoperative bleeding data from clinical analysis.
1 Data and methods
1.1 General Information
Hypertensive intracerebral hemorrhage (136 cases of surgical bleeding again after 18 cases (of which 72 cases of rebleeding craniectomy in 6 cases, 64 cases of small bone window re-bleeding in 12 cases, 11 males and 7 females, aged 42 to 73 years, mean 53 years of age. Clinical manifestations: Most of the performance of re-bleeding deepening consciousness, GCS score 3 to 5 minutes in 5 cases, 5 to 8 minutes and 10 cases, more than 8 points in 3 cases, the side of the mydriasis in 6 cases, bilateral mydriasis 2 cases. imaging findings: 18 cases were confirmed by CT scan again confirmed bleeding, bleeding sites in the basal ganglia in 12 cases, 5 cases of cerebral lobes, cerebellum in 1 case
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