Analysis and prevention of rebleeding after hypertensive intracerebral hemorrhage surgery

Objective To investigate the causes and prevention and treatment methods of rebleeding after hypertensive intracerebral hemorrhage surgery.Methods The clinical data of 463 patients receiving the surgical treatment of hypertensive intracerebral hemorrhage was reviewed and the causes of rebleeding after hypertensive intracerebral hemorrhage were analyzed.Results Of the 463 patients receiving the surgical treatment of hypertensive cerebral hemorrhage,postoperative bleeding was found in 48 patients,accounting for 10.37%.Abnormal blood coagulation function,irregular hematoma shape,large bleeding amount,large sudden fluctuation of blood pressure,super early surgery were important causes of rebleeding after hypertensive intracerebral hemorrhage(P 0.05).Conclusion Surgical indications should be strictly controlled for people with abnormal blood coagulation function;If the patient′s conditions allows,the first surgery time of hypertensive intracerebral hemorrhage should be selected between 7-24 hours;It is enough to remove 70%-80% of the hematoma during the surgery in order to avoid the injury operations to the hematoma wall;Blood press examination and control after the surgery should be strengthened.