【摘 要】
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目的 分析手术治疗高血压脑出血患者术后再次出血的临床疗效.方法 选取204例施行开颅血肿清除术的高血压脑出血患者作为研究对象,对其中术后再次出血的42例患者的临床资料进
【机 构】
：
261021,中国人民解放军第89医院神经外科
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目的 分析手术治疗高血压脑出血患者术后再次出血的临床疗效.方法 选取204例施行开颅血肿清除术的高血压脑出血患者作为研究对象,对其中术后再次出血的42例患者的临床资料进行分析,总结术后再次出血的原因及预防措施,观察其临床效果.结果 42例再次出血患者经治疗后,均未出现第3次脑出血情况.其中,34例手术治疗患者中,26例手术治疗后病情稳定,最终出院,平均随访11.8个月,日常生活活动能力(ADL)量表分级:Ⅰ级6例,Ⅱ级13例;Ⅲ级5例;Ⅳ级2例;其余8例因大面积脑梗死、重度脑水肿或其他并发症而死亡.8例保守治疗患者治愈后顺利出院,ADL分级:Ⅰ级5例,Ⅱ级3例.结论 及时诊断、积极治疗是减少高血压脑出血术后再次出面患者死亡和提升临床疗效的关键,同时把握手术时机、彻底止血、纠正凝血功能,可以避免再次出血的发生.
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