| 影响手术治疗高血压脑出血患者预后的因素分析 |
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| 引用本文： | 朱建艇,张捷,杨崇阳,吴勇,王伟,付锴,谢腾. 影响手术治疗高血压脑出血患者预后的因素分析[J]. 中国临床神经外科杂志, 2011, 16(9): 530-532,535. DOI: 10.3969/j.issn.1009-153X.2011.09.006 |
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| 作者姓名： | 朱建艇 张捷 杨崇阳 吴勇 王伟 付锴 谢腾 |
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| 作者单位： | 武汉大学中南医院神经外科,430071 |
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| 摘 要： | 目的探讨影响手术治疗高血压脑出血患者预后的因素。方法回顾性分析手术治疗的166例高血压脑出血患者的临床资料。患者被分为脑室外引流组、小骨窗组、骨瓣开颅组,分析其临床特征、术后1个月的治疗结果及影响预后的因素。结果本组死亡48例,总死亡率为28.9%。术前GCS≤7患者的死亡率为38.1%(45/118),GCS>7患者的死亡率为6.2%(3/48)。脑室外引流组、小骨窗组、骨瓣开颅组死亡率分别为35.3%(18/51)、20.3%(14/69)、34.8%(16/46);GOS分别为(27.1±1.6)、(3.3±1.6)和(2.5±1.5)分。相关分析显示,GOS与术前血肿量呈负相关,与术前GCS呈正相关;逐步回归分析显示,术前GCS明显影响GOS。结论术前血肿量及GCS与手术治疗的高血压脑出血患者预后相关;应根据不同的出血量及出血部位选择适当的手术方式。
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| 关 键 词： | 高血压 脑出血 手术 预后 影响因素 |
Factors related to the prognoses in the patients with hypertensive intracerebral hemorrhage undergoing surgery |
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| ZHU Jian-ting,ZHANG Jie,YANG Chong-yang,WU Yong,WANG Wei,FU Kai,Xie Teng. Factors related to the prognoses in the patients with hypertensive intracerebral hemorrhage undergoing surgery[J]. Chinese Journal of Clinical Neurosurgery, 2011, 16(9): 530-532,535. DOI: 10.3969/j.issn.1009-153X.2011.09.006 |
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| Authors: | ZHU Jian-ting ZHANG Jie YANG Chong-yang WU Yong WANG Wei FU Kai Xie Teng |
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| Affiliation: | ZHU Jian-ting,ZHANG Jie,YANG Chong-yang,WU Yong,WANG Wei,FU Kai,Xie Teng.Department of Neurosurgery,Zhongnan Hospital,Wuhan University,Wuhan 430071,China |
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| Abstract: | Objective To explore the factors influencing the prognoses in the patients with hypertensive intracerebral hemorrhage(HICH) treated by surgery.Methods The clinical data of 166 patients with hypertensive intracerebral hemorrhage,of whom,46 underwent external ventricular drainage,69 keyhole(small-bone-window) craniotomy and 51 decompressive craniectomy,were analyzed retrospectively.Results The dead rates in the external ventricular drainage,keyhole craniotomy and decompressive craniectomy groups were 35.3%(18... |
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| Keywords: | Hypertension Cerebral hemorrhage Neurosurgery Prognosis Relative factor |
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