2004•Hainan yixueRequires access

Clinical analysis of rebleeding after operation for Hypertensive intracerebral hemorrhage

Zhang Tian-b

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Abstract

Objective: To improve understanding of rebleeding after operation for hypertensive intracerebral hemorrhage so that it can be diagnosed in the early phase and treated in time, the cause, diagnosis, treatment and prevention of it was analyzed. Methods: 24 cases of hypertensive intracerebral hemorrhage were operated after hospitalization, but disturbance of consciousness of the patients got bad, Rebleeding of the patients was verified by repeated CT and operated again. Results 13 cases convalesce well, 4 cases could take care of himself. 3 cases should be undertook care by others. 2 cases are vegetative patients, and 2 cases died. Conclusion In order to prevent the recurrence of rebleeding after operation for hypertensive intracerebral hemorrhage, we should stop bleeding carefully during operation and control blood pressure smoothly after operation. The patients with operation after hypertensive brain hemorrhage must be monitored rigorously, be diagnosed by repeated CT in the early phase it needed and operated in time, prognosis can be improved and the mortality rate decrease.

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Objective: To improve understanding of rebleeding after operation for hypertensive intracerebral hemorrhage so that it can be diagnosed in the early phase and treated in time, the cause, diagnosis, treatment and prevention of it was analyzed. Methods: 24 cases of hypertensive intracerebral hemorrhage were operated after hospitalization, but disturbance of consciousness of the patients got bad, Rebleeding of the patients was verified by repeated CT and operated again. Results 13 cases convalesce well, 4 cases could take care of himself. 3 cases should be undertook care by others. 2 cases are vegetative patients, and 2 cases died. Conclusion In order to prevent the recurrence of rebleeding after operation for hypertensive intracerebral hemorrhage, we should stop bleeding carefully during operation and control blood pressure smoothly after operation. The patients with operation after hypertensive brain hemorrhage must be monitored rigorously, be diagnosed by repeated CT in the early phase it needed and operated in time, prognosis can be improved and the mortality rate decrease.

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Available abstract

Objective: To improve understanding of rebleeding after operation for hypertensive intracerebral hemorrhage so that it can be diagnosed in the early phase and treated in time, the cause, diagnosis, treatment and prevention of it was analyzed. Methods: 24 cases of hypertensive intracerebral hemorrhage were operated after hospitalization, but disturbance of consciousness of the patients got bad, Rebleeding of the patients was verified by repeated CT and operated again. Results 13 cases convalesce well, 4 cases could take care of himself. 3 cases should be undertook care by others. 2 cases are vegetative patients, and 2 cases died. Conclusion In order to prevent the recurrence of rebleeding after operation for hypertensive intracerebral hemorrhage, we should stop bleeding carefully during operation and control blood pressure smoothly after operation. The patients with operation after hypertensive brain hemorrhage must be monitored rigorously, be diagnosed by repeated CT in the early phase it needed and operated in time, prognosis can be improved and the mortality rate decrease.

Key concepts: Medicine, Intracerebral hemorrhage, Surgery, Blood pressure, Anesthesia, Brain hemorrhage, Internal medicine, Subarachnoid hemorrhage

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