Effect of timing of surgery on prognosis of severe hypertensive cerebral hemorrhage
- VernacularTitle:重症高血压脑出血患者手术时机对预后的影响
- Author:
Yanfeng FAN
1
;
Yabin YUN
;
Xinmin MA
Author Information
1. 呼和浩特市第一医院神经外科
- Keywords:
Hypertensive;
Cerebral hemorrhage;
Timing of surgery
- From:
China Modern Doctor
2015;(14):30-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss effect of timing of surgery on prognosis of severe hypertensive cerebral hemorrhage. Methods Clinical data of 118 cases with severe hypertensive cerebral hemorrhage were divided into three groups ac-cording to the time from the onset to surgery. Onset to operation of group A was≤7 h, a total of 43 cases;Group B was 7-24 h, a total of 38 cases;And a total of 37 cases in group C were 跃24 h. Clinical efficacy of three groups were com-pared. Results Group A had the highest level ADLⅠproportion of 25.6%, next was group B with 13.2%, and group C was lowest with 5.4%(P<0.05);Group A吁grade and deaths proportion were lowest(4.7%and 7.0%), which were lower than group C (P<0.05). Patients with stageⅠ and II of group A were 23 cases, accounting for 53.5%, Group B were 11 cases, accounting for 28.9%, and group C were 6 cases, accounting for 16.2%, which showed significant difference (P<0.05). Conclusion Hypertensive encephalopathy disease patients should be treated surgically as soon as possible.