Causes and treatment of postoperative rebleeding of hypertensive basal ganglia hemorrhage

Objective To analyze the causes and preventive measures of postoperative rebleeding of hypertensive basal ganglia hemorrhage. Methods A retrospective study of 190 patients included 30 postoperative rebleeding patients with hypertensive basal ganglia hematoma in our hospital between 2008 and 2012. To explore the causes of rebleeding and treatment measures.Results Among 30 cases of postoperative rebleeding patients,15 patients had indications for surgery again,of which 8 had hematoma evacuations,their postoperative head CT review were clear,5 cases improved and discharged,3 patients died of pulmonary complications. Another 7 patients gived up surgery to conservative treatment,only 1 patient improved and was discharged,the remaining 6 cases died. 15 cases who were treated conservatively improved and were discharged. The rate of hypertensive basal ganglia hemorrhage postoperative rebleeding in this group was 15. 7%,and the causes of rebleeding were related with the timing of surgery,surgical techniques,preoperative CT showed hematoma shape,the amount of bleeding,postoperative poorly controlled hypertension. Conclusion The timing of surgery,surgical techniques,and postoperative management might effective methods to reduce the incidences of hypertensive basal ganglia hemorrhage postoperative rebleeding.