摘要
对手术前后作过CT检查的50例高血压脑出血病人进行回顾性分析。提出高血压脑出血出现下列情况者，术后可发生严重的脑水肿：①术前GCS≤6分；②脑疝形成;③本前血压≥24／12．7kPa，④深部型血冲；⑤脑中线结构移位≥1．0cm；⑥水后血压≥24／12．7kPa，不稳。术后主张大剂量、长时间应用脱水药。
50 cases of hypertensive cerebralhemorrhage with pre- and post- operative CT scanwere analyzed restrospectively. Severe brain edemawould occur with following conditions: ① pre-operative GCS≤6;②uni- or bilateral pupil dilatation ;③are-oDerative BP≥24/12. 7kpa ;④hematoma in deepposition;⑤midline structure shift≥ 1. 0cm;⑥ postoperative BP≥24/12 kpa,and was not steady. Wesuggest that big-dosage and long term dehydrate agents should be applied after operations on hypertensive cerebral hemorrhage.
出处
《西安医科大学学报》
CSCD
1998年第4期624-627,共4页
Journal of Xi'an Medical University(Chinese)
