摘要
目的:探讨影响微创血肿抽吸引流治疗脑出血患者疗效的因素。方法:前瞻性地观察分析261例行血肿抽吸引流治疗的幕上脑出血患者的病历资料。结果:患者病死率与血肿量(P=0.0067)、GCS评分(P<0.0001)、年龄(P=0.0255)和拔管后残余血量有关(P=0.0406),而与出血部位、入院时血压、手术时机、中线结构移位、首次血肿清除率和并发症无关(P>0.05)。刚果红染色阳性组(P=0.0334)与未用止血剂组(P=0.0125)再出血的发生率较高,但与是否降低血压无关(P=0.3343)。结论:脑出血微创血肿抽吸引流术的死亡主要受出血量、GCS评分、年龄和首次血肿清除率的影响;刚果红染色阳性组再出血的发生率较高,再出血与是否用降血压治疗无关。
Objective： To investigate the factors influencing effects of micro-invasive evacuation in treatment of patients with intracerebral hemorrhage. Methods：Clinical data of 261 cases with supratentorial spontaneous intracerebral hemorrhage treated by micro-invasive evacuation were analyzed retrospectively. Results：The mortality correlated with hematoma volume （P = 0. 0067）, GCS （P〈0.0001 ）. age （P = 0. 0255） and the residual hematoma volume postextubation （P = 0. 0406）, but was not correlated with site of hematoma,opportunity of operation time, blood pressure on admission, complications and the shift of midline structure（P〉0.05）. The rate of recurrent hemorrhage was higher in CAA patients （P= 0. 0334） and in patients untreated with hemostatics （P= 0. 0125） ,it was not correlated with antihypertensive treatment （P = 0. 3343）. Conclusion：Risk factors of micro-invasive evacuation in intracerebral hemorrhagic patients mainly affected by hematoma volume,GCS.age and the residual hematoma volume postextubation. The rate of recurrent hemorrhage is higher in CAA patients, but not correlates with antihypertensive treatment.
出处
《内科急危重症杂志》
2008年第2期84-86,共3页
Journal of Critical Care In Internal Medicine
基金
江西省社会发展攻关项目基金(No:赣科发计字[2006]85号)
关键词
脑出血
治疗
预后
病死率
再出血
血管淀粉样变
微出血
Intracerebral hemorrhage Treatment Prognosis Mortality Recurrent hemorrhage Cerebral amyloid angiopathy Microhemorrhage
