论文部分内容阅读
目的 探讨脑出血围手术期血压调控与临床若干问题的关系 ,寻找血压调控的最佳方案。方法 回顾性分析 132例脑出血患者围手术期临床资料。结果 132例患者均行外科治疗 ,围手术期出现再出血 18例 ,其中术中再出血 10例 ,术后再出血 8例。预后根据ADL评分 :Ⅰ级 12例 ,Ⅱ级 18例 ,Ⅲ级 2 9例 ,Ⅳ级 2 0例 ,Ⅴ级 9例 ,死亡 4 4例 (33.3% )。结论 围手术期血压过高是影响患者预后的重要因素之一 ,临床血压调控可以在一定程度上提高预后质量。
Objective To investigate the relationship between blood pressure control and some clinical problems during perioperative period of cerebral hemorrhage and to find out the best way to regulate blood pressure. Methods The perioperative data of 132 patients with cerebral hemorrhage were retrospectively analyzed. Results All 132 patients underwent surgical treatment. There were 18 cases of rebleeding during the perioperative period, including 10 cases of rebleeding during operation and 8 cases of rebleeding after operation. The prognosis was based on ADL score: grade Ⅰ in 12 cases, grade Ⅱ in 18 cases, grade Ⅲ in 29 cases, grade Ⅳ in 20 cases, grade Ⅴ in 9 cases, and death in 4 4 cases (33.3%). Conclusion Perioperative high blood pressure is one of the important factors affecting the prognosis of patients. Clinical blood pressure control can improve the prognosis quality to a certain extent.