2003•Chinese Journal of Critical Care MedicineRequires access

Choice of micro - injury operation time in the patients with hypertensive cerebral hemorrhage

Xiang Yang Qian

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Abstract

Objective To investigate the operation time and therapeutic effect on patients with severe hypertensive cerebral hemorrhage. Mehods From 2001. 10 to 2003. 03, 78 patients with hypertensive cerebral hemorrhage were studied and divided into 3 groups: the 26 cases accepted surgical treatment within 3 h were assigned in Ⅰ group, and the 26 cases accepted surgical treatment during 5~7 h after cerebral hemorrhage were assigned in Ⅱ group, and the 26 cases accepted micro-injury operation during 7~24 h after cerebral hemorrhage were assigned in Ⅲ group. Results Case-mortality was 30.8% in Ⅰ group, rehemorrhage was the main reason, the rate was 11.5% and 15.4% respectively in Ⅱ and Ⅲ group. All the cases had been closely followed up for six-months, the score of ADL was much higher in Ⅱ group than other groups. Conclusion The best time in patients accepted micro-injury operation was 5~7 h after cerebral hemorrhage.

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Objective To investigate the operation time and therapeutic effect on patients with severe hypertensive cerebral hemorrhage. Mehods From 2001. 10 to 2003. 03, 78 patients with hypertensive cerebral hemorrhage were studied and divided into 3 groups: the 26 cases accepted surgical treatment within 3 h were assigned in Ⅰ group, and the 26 cases accepted surgical treatment during 5~7 h after cerebral hemorrhage were assigned in Ⅱ group, and the 26 cases accepted micro-injury operation during 7~24 h after cerebral hemorrhage were assigned in Ⅲ group. Results Case-mortality was 30.8% in Ⅰ group, rehemorrhage was the main reason, the rate was 11.5% and 15.4% respectively in Ⅱ and Ⅲ group. All the cases had been closely followed up for six-months, the score of ADL was much higher in Ⅱ group than other groups. Conclusion The best time in patients accepted micro-injury operation was 5~7 h after cerebral hemorrhage.

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Available abstract

Objective To investigate the operation time and therapeutic effect on patients with severe hypertensive cerebral hemorrhage. Mehods From 2001. 10 to 2003. 03, 78 patients with hypertensive cerebral hemorrhage were studied and divided into 3 groups: the 26 cases accepted surgical treatment within 3 h were assigned in Ⅰ group, and the 26 cases accepted surgical treatment during 5~7 h after cerebral hemorrhage were assigned in Ⅱ group, and the 26 cases accepted micro-injury operation during 7~24 h after cerebral hemorrhage were assigned in Ⅲ group. Results Case-mortality was 30.8% in Ⅰ group, rehemorrhage was the main reason, the rate was 11.5% and 15.4% respectively in Ⅱ and Ⅲ group. All the cases had been closely followed up for six-months, the score of ADL was much higher in Ⅱ group than other groups. Conclusion The best time in patients accepted micro-injury operation was 5~7 h after cerebral hemorrhage.

Key concepts: Medicine, Anesthesia, Surgery

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