摘要
目的分析老年人高血压脑出血手术治疗预后的各种影响因素,以提高手术疗效。方法回顾105例老年人(≥60岁)高血压脑出血手术治疗临床资料,分析GCS评分、出血量、手术时机、年龄对预后的影响。结果患者术前GCS评分越高预后越好,血肿量较小者(≤50m l)预后较好,年龄越大者预后差,患者在6小时内及6-24小时内手术则较24小时后手术预后好。结论患者术前GCS评分是H ICH预后的重要指标,不同的出血量有不同的预后,超早期和早期手术疗效好,高龄患者(>80岁)手术风险大,预后差。
Objective To investigate the factors influencing early prognosis surgical treatment of aged hypertensive intracerebral hemorrhage.Methods The clinical data of 105 cases of old age HICH received surgical treatment were reviewed.Four prognostic factors were analyzed.They were preoperative Glasgow Coma Scale（GCS） score,hemotoma volume,operative timing and age.Results Higher GCS score,smaller hematoma（≤50ml）,lower age,and earlier surgical intervention（24H） were good predictors of prognosis.Conclusion For aged HICH patients with high GCS score and small hematoma volume early surgery could achieve good prognosis,the higher age（80 years old）,the worse prognosis.
出处
《生物医学工程学进展》
CAS
2010年第4期220-222,共3页
Progress in Biomedical Engineering
关键词
老年人
高血压脑出血
手术
预后
aged
hypertensive intracerebral hemorrhage
Surgery
Prognosis
