Perioperative treatment of severe hypertensive intracerebral hemorrhage

CHEN Weifu; et al

doi:10.13406/j.cnki.cyxb.2004.04.027

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Perioperative treatment of severe hypertensive intracerebral hemorrhage

更新时间：2024-01-17

- Perioperative treatment of severe hypertensive intracerebral hemorrhage
- Journal of Chongqing Medical University Issue 4, Pages: 494-496(2004)
- 作者机构：
  
  1. 重庆医科大学第二临床学院神经外科
  2. 重庆医科大学第二临床学院神经外科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.04.027
  CLC： R651
- Published：2004，
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[1]陈维福,程远,刘德华.危重高血压性脑出血围手术期治疗[J].重庆医科大学学报,2004(04):494-496.

CHEN Weifu, et al. Perioperative treatment of severe hypertensive intracerebral hemorrhage. [J]. Journal of Chongqing Medical University (4):494-496(2004)
[1]陈维福,程远,刘德华.危重高血压性脑出血围手术期治疗[J].重庆医科大学学报,2004(04):494-496. DOI： 10.13406/j.cnki.cyxb.2004.04.027.

CHEN Weifu, et al. Perioperative treatment of severe hypertensive intracerebral hemorrhage. [J]. Journal of Chongqing Medical University (4):494-496(2004) DOI： 10.13406/j.cnki.cyxb.2004.04.027.

摘要

目的 :探讨危重高血压性脑出血围手术期治疗的意义。方法 :回顾性分析近年我科采用微侵袭手术方法治疗危重高血压性脑出血围手术期治疗

包括控制血压

加强呼吸道管的护理

抗生素的合理应用和方案选择以及高血糖、脑水肿、消化道出血、营养等对症治疗。结果 :5 0例危重高血压性脑出血患者

死亡 9例

病死率为 18% ;3月后随访

日常生活能力（Activi tyDailyLiving

ADL）Ⅰ～Ⅲ达 76 %。结论 :危重高血压性脑出血治疗不仅需要手术方法的微侵袭

而且围手术期积极的病理生理学、病原学、营养和对症治疗

对危重患者能否获得较长的生存时间和较好的生存质量至关重要

Abstract

Objective:To discuss therapeutic value of severe hypertensive intracerebral hemorrhage perioperatively.Methods:The patients with severe hypertensive intracerebral hemorrhage treated with minimal invasive drainage were analyzed retrospectively.The treatment included controlling the blood pressure

enhancing respiratory tract nursing

applying antibiotics reasonably and treating cerebral edema

hyperglycemia

nourishment etc.Results:The fifty patients with severe hypertensive intracerebral hemorrhage were entered into the clinical trial.9 cases died.The mortality was 18%.The results were evaluated with Activity Daily Living (ADL)after 3 months.The proportion of the patients whose ADL reached Ⅰ to Ⅲ were up to 76%.Conclusion:The treatment on severe hypertensive intracerebral hemorrhage includes not only the minimally invasive operation method

but also the positive treatment with pathological physiology

etiology

nourishment in the perioperative period

which is important for patients with severe hypertensive intracerebral hemorrhage to live longer and better.

关键词

高血压性脑出血围手术期微侵袭外科回顾性分析

Keywords

Hypertensive intracerebral hemorrhageRound the surgical operation periodMinimal invasive surgeryretrospective analysis

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Related Institution

Department of Otorhinolaryngology,the First Affiliated Hospital of Xinjiang Medical University

Department of Neurology,The first Affiliated Hospital,Chongqing Medical University

重庆医科大学神经科学研究中心

Department of Prediatric Cardiothoracic Surgery，the Children’s Hospital，Chongqing Medical University

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