摘要
目的探讨高血压脑出血患者不同手术时机治疗与术后发生再出血及近期疗效的关系。方法选取某医院2013年4月—2017年4月进行治疗高血压脑出血疾病的患者240例,其中根据患者发病距离进行手术治疗的时间进行分类,分为晚期组、早期组以及较早期组,对3组患者使用相同的,常规的手术方法进行治疗,观察再出血及近期疗效。结果晚期组对患者进行手术治疗再出血率较低,仅为5%,较早期组术后再出血率最高,为18.75%。早期组对患者进行手术治疗,近期疗效最好,有效率为30%,晚期组治疗有效率最低,仅为12.5%。结论患者晚期进行手术治疗,手术后再出血率较低;患者早期进行手术治疗,治疗效果较高。
Objective To investigate the relationship between the treatment of different operation time of hypertensive cerebral hemorrhage and the postoperative rebleeding and the short-term curative effect. Methods 240 cases of hypertensive intracerebral hemorrhage were treated from April 2013 to April 2017 in our hospital. The time of the surgical treatment was classified according to the patient＇s distance, which was divided into the late group, the early group and the earlier group. The 3 groups of patients were treated with the same and conventional surgical methods to observe the rebleeding and the short-term effect. Results In the late group, the rebleeding rate of the patients was low, only 5%, and the rebleeding rate was the highest in the early group, which was 18.75%. The early group has the best curative effect, the effective rate was 30%, the late group has the lowest effective rate, only 12.5%. Conclusion The patients were treated by surgery, and the rate of rebleeding was low after the operation; the patients were treated with early operation, and the treatment effect was higher.
作者
陈昌瑞
CHEN Changrui(Department of Neurosurgery, Liangshan County People＇s Hospital, Liangshan Shandong 272600, Chin)
出处
《中国继续医学教育》
2018年第2期103-105,共3页
China Continuing Medical Education
关键词
高血压
脑出血
手术时机
再出血
近期疗效
hypertension
cerebral hemorrhage
operation time
rebleeding
short term efect
