高血压脑出血微创术治疗后近期死亡原因分析

目的探讨高血压脑出血微创颅内血肿清除术后近期死亡原因。方法对23例高血压脑出血患者行颅内血肿微创穿刺清除术后近期死亡原因进行回顾分析。结果全组23例患者，8例死亡，病死率为34．8％，死亡原因：6例为脑疝，1例为糖尿病高渗血症并多器官功能衰竭，1例为肺部感染、呼吸衰竭。意识障碍与死亡的关系：昏迷15例中，死亡7例，占46．7％，清醒至昏睡8例中，死亡1例，占12．5％。年龄与死亡的关系：≥70岁患者8例中，死亡2例，占25％；〈70岁患者15例中，死亡6例，占40％。结论脑疝为高血压脑出血微创颅内血肿清除术后近期死亡的主要原因，意识障碍与病情严重性成正相关系。

Analysis on the shorter-term cause of death after minimally invasive removal of intracranial hematoma due to hypertensive cerebral hemorrhage

Objective To explore the shorter-term cause of death after minimally invasive removal of intracranial hematoma hematoma dut to hypertensive cerebral hemorrhage. Methods The short-term cases of death after minimally inrasive puncture in 23 patients of intracranial hematoma due to hypertensive cerebral hemorrhage were analyzed retrospectively. Results Of 23 patients in this group, 8 died, the mortality rate was 34. 8%. Of them, 6 died of cerebral hernia, 1 died of diabetic hypertonic hyperlipidemia and multiple organ failure and 1 died of pulmo- nary infection and respiratory failure. The relationship between dysfunction of consciousness and death ： Of the 15 pa- tients of coma, 7 died which accounted for 46.7%. Of the 8 patients whose consciousness was in waking to lethargic state, 1 died which accounted for 12. 5%. The relationship between age and death： Of the 8 patients above the age of 70 years （including 70）, 2 died and accounted for 25% ;Of the 15 patients under the age of 70 years, 6 died which accounts for 40%. Conclusion The main short-term cause of death after minimally invasive removal of intracranial hematoma due to hypertensive cerebral hemorrhage is the cerebral hernia. The dysfunction of consciousness is positively related to the severity of the illness.