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目的 :探讨死亡原因 ,从而把握手术适应证 ,恰当选择手术病例 ,降低该病手术病死率。方法 :对 82例高血压脑出血手术病例进行回顾性分析 ,找出与死亡相关的主要因素。结果 :病人年龄越大 ,出血量越多 ,住院时血压越高 ,手术时间越晚 ,手术前意识障碍越深 ,病死率越高。结论 :病人年龄、出血量多少、住院时血压高低、手术时间、意识状况对高血压脑出血手术选择有指导作用
Objective: To explore the causes of death, so as to grasp the indications for surgery, select the appropriate surgical cases and reduce the operative mortality. Methods: 82 cases of hypertensive intracerebral hemorrhage surgery were retrospectively analyzed to identify the main factors associated with death. Results: The older the patient, the more bleeding, the higher the blood pressure during hospitalization, the later the operation time, the deeper the consciousness disturbance before operation, and the higher the case fatality rate. Conclusion: The age of patients, the amount of bleeding, the level of blood pressure during hospitalization, operation time and consciousness status can guide the choice of surgical treatment of hypertensive intracerebral hemorrhage