高血压脑出血小骨窗血肿清除术后再出血高危因素分析及防治对策.docVIP

精品论文 参考文献 高血压脑出血小骨窗血肿清除术后再出血高危因素分析及防治对策 何嗪1 何远伦2 　　(1江西省南昌市南昌大学医学院东湖校区第一临床医学院临床医学2011级 330000） 　　（2四川省资阳市安岳县毛家镇卫生院 642300) 　　【摘要】 目的：分析高血压脑出血小骨窗血肿清除术后再出血高危因素和防治对策。方法：选取60例经小骨窗血肿清除术后的高血压脑出血患者作为研究对象，将30例高血压脑出血术后再出血的患者作为观察组，将30例高血压脑出血术后康复的患者作为对照组。总结术后再出血的高危因素，并探讨防治对策。结果：观察组术后再出血的高危因素有术中出血量、凝血功能障碍、凝血块形状异常及从脑出血到手术时间，与对照组相比，两组以上指标差异较大，Plt;0.05。结论：针对高血压脑出血小骨窗血肿清除术后再出血高危因素采取相应的防治措施能有效缓解患者的病情，改善预后。 　　【关键词】高血压脑出血；再出血；高危因素；防治对策 　　【中图分类号】R743.34 【文献标识码】A 【文章编号】2095-1752（2015）19-0023-02 　　 　　Small bone window hematoma after hemorrhage analysis and Prevention Countermeasures of risk factors of hypertensive cerebral hemorrhage 　　He Qin. Medical School of Nanchang University, Jiangxi Province, Nanchang 330000, China; 　　He Yuanlun. Maojia Town Hospital Of Anyue County, Sichuan Province, Ziyang 641300, Chinese 　　【Abstract】Objective Analysis of hypertensive cerebral hemorrhage with small bone window hematoma after rebleeding risk factors and prevention.Methods Sixty patients with small bone window hematoma after hypertensive cerebral hemorrhage as the object of study, 30 patients with hypertensive cerebral hemorrhage of postoperative bleeding as the observation group, 30 patients with hypertensive intracerebral hemorrhage as postoperative rehabilitation in the control group. Summary of postoperative bleeding risk factors, and explore countermeasures.Results Risk factors in the observation group had postoperative bleeding blood loss, coagulation disorders, blood clot from the brain hemorrhage and abnormal shape to the operation time, compared with the control group, the above two indicators are quite different, Plt;0.05.Conclusion For hypertensive cerebral hemorrhage with small bone window hematoma rebleeding risk factors to take appropriate preventive measures can effectively relieve the patients condition and improve prognosis. 　　【Key words】Hypertensive intracerebral hemorrhage; Bleeding; Risk factors; Countermeasures 　　前言 　　术后再出血是高血压脑出血最常见也是最