| 颅脑穿刺术治疗高血压脑出血术后再出血危险因素分析 |
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| 引用本文： | 赵宪林,姜宏舟,杜敬华,王庭忠.颅脑穿刺术治疗高血压脑出血术后再出血危险因素分析[J].中华神经外科疾病研究杂志,2011,10(6):537-539. |
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| 作者姓名： | 赵宪林 姜宏舟 杜敬华 王庭忠 |
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| 作者单位： | 中国医科大学附属第四医院神经外科,辽宁沈阳,110032 |
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| 摘 要： | 目的探讨影响CT监视下颅脑穿刺术治疗高血压脑出血术后再出血的危险因素。方法回顾性分析本院2006年1月至2010年1月CT监视下颅脑穿刺术治疗的490例高血压脑出血患者的临床资料,通过单因素和多因素Logistic回归分析对再出血的可能相关因素进行分析。结果 490例患者再出血48例(9.7%)。手术时机(比值比=2.401,P=0.035)、术中首次抽吸量(比值比=3.012,P=0.001)、术后高血压控制情况(比值比=2.562,P=0.028)、肝脏疾病(比值比=1.987,P=0.037)等4个因素是影响CT监视下颅脑穿刺术后再出血的独立危险因素。结论 CT监视下颅脑穿刺术后再出血主要受手术时机、术中首次抽吸量、术后高血压控制情况、肝脏疾病影响,重视这些因素有利于再出血的早期识别与及时处理。
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| 关 键 词： | 脑出血 危险因素 回归分析 |
Risk factors of hematoma enlargement in hypertensive intracerebral hematoma after microinvasive craniopuncture |
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| ZHAO Xianlin,JIANG Hongzhou,DU Jinghua,WANG Tingzhong.Risk factors of hematoma enlargement in hypertensive intracerebral hematoma after microinvasive craniopuncture[J].Chinese Journal of Neurosurgical Disease Research,2011,10(6):537-539. |
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| Authors: | ZHAO Xianlin JIANG Hongzhou DU Jinghua WANG Tingzhong |
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| Institution: | ZHAO Xianlin,JIANG Hongzhou,DU Jinghua,WANG TingzhongDepartment of Neurosurgery,Fourth Affiliated Hospital of China Medical University,Shenyang 110032,China |
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| Abstract: | Objective To elucidate risk factors of hematoma enlargement in hypertensive intracerebral hematoma(HICH) after microinvasive craniopuncture with CT monitoring.Methods A total of 490 cases who were performed CT monitored microinvasive craniopuncture from January 2006 to January 2010 were analyzed retrospectively.Post-operative hematoma enlargement was found in 48 patients.The risk factors of hematoma enlargement were analyzed by single factor analysis and multivariate Logistic retrospective analysis.ResultsA... |
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| Keywords: | Intracerebral hemorrhage Risk factors Logistic regression analysis |
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