贫血及围手术期输血的脑出血患者预后分析

目的：探讨贫血和围手术期输血的脑出血患者术后并发症和病死率情况，为临床提供参考。方法回顾性分析实施开颅手术的脑出血患者223例的临床资料，比较输血患者与未输血患者，中重度贫血患者与无中重度贫血患者术后住院时间、术后并发症及术后病死率情况。结果27例中重度贫血患者与196例无中重度贫血患者术后住院时间、术后感染、急性呼吸衰竭、急性肾衰竭及术后病死率比较差异有统计学意义（ P＜0.05）；56例输血患者与167例未输血患者术后住院时间、术后感染、急性呼吸衰竭、急性肾衰竭及术后病死率比较差异有统计学意义（ P＜0.05）。结论中重度贫血及围手术期输血的脑出血患者预后差。

Effect of anemia and perioperative blood transfusion on prognoses in patients with brain hemorrhage

Objective To investigate the complications and the case fatality rates in patients of brain hemorrhage with anemia or received blood transfusion , provide reference for clinical studies.Methods The clinical data of 223 patients with brain hemorrhage undergoing operation were retrospectively analyzedto compare the postoperative length of stay , the incidence of complications and the case fatality rates.Results The postoperative length of stay , the postoperative infection rates , acute respiratory failure rates , acute renal failure rates and the case fatality rates between the patients of severe anemia （27 cases） and the patients of not severe anemia （196 cases） were significantly different （P〈0.05）.The postoperative length of stay, the post-operative infection rates , acute respiratory failure rates , acute renal failure rates and the case fatality rates be-tween the patients who received blood transfusion （ 56 cases ） and those who didn＇t receive blood transfusion （167 cases） were significantly different （P〈0.05）.Conclusion Severe anemia and transfusion of blood are associated with worse prognosis in the patients with brain hemorrhage.