不同手术时机治疗高血压脑出血与术后再出血相关性研究

目的：探讨不同手术时机治疗高血压脑出血与术后再出血相关性。方法：240例手术治疗的高血压脑出血（HICH）患者根据手术时间分为超早期组（≤6h），早期组（6-24h）及晚期组（≥24h），比较不同组别患者近期疗效及再出血发生率。结果：240例患者发生术后再出血30例，发生率为12．5％，其中超早期组为20．83％，早期组为11．20％，晚期组为3．84％，再出血发生率超早期组明显高于早期组与晚期组（P＜0．05），早期组与晚期组无明显差异（P＞0．05）；格拉斯哥预后评分（GOS）方面三组间优良率及死亡率两两比较未见明显差异（ P＞0．05）。结论：超早期手术治疗与术后再出血有关，对于符合条件的HICH患者，早期手术是较为安全且有效的手术时机。

Correlation Study of Rebleeding with Different Timing of Surgery in Hypertensive Intracerebral Hemorrhage

Objective：To investigate the correlation of rebleeding with different timing of surgery in hypertensive intracerebral hemorrhage .Method： 240 patients with HICH were divided into the ultra -early group （≤6h）, early group （6-24h） and late group （≥24h） according to the operation time ,the efficacy and incidence of rebleeding were compared .Result： There were 30 cases with rebleeding （ 12.5 %） , and the rate in the ultra-early group was 20.83 %,and in early group was 11.20%and in the late group was 3. 84%, and that in ultra-early group was significantly higher than those in two groups （P〈0.05）, there were no significant difference in the early and late group （ P〉0.05）; there were no significant difference of the excellent rate and mortality in the three groups （ P〉0.05） .Conclusion：The ultra-early surgery has a correlation with the postoperative rebleeding ,and the early surgery for qualified patients is a relatively safe and effective timing .