Application of early tracheotomy combined with hyperventilation in the treatment of hypertensive cerebral hemorrhage
10.3760/cma.j.issn.1008-6706.2013.11.012
- VernacularTitle:早期气管切开联合过度通气在高血压脑出血术后治疗中的应用
- Author:
Qin SONG
- Publication Type:Journal Article
- Keywords:
Intracranial hemorhage;
Tracheotomy;
Hyperventilation;
Prognosis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(11):1626-1628
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of early tracheotomy combined with hyperventilation in the treatment of hypertensive cerebral hemorrhage.Methods Clinical data of 76 patients with hypertensive cerebral hemorrhage after operation were retrospectively analyzed,and they were divided into treatment group and control group depending on whether received early tracheal incision joint hyperventilation.3 months after the treatment,the prognosis of the two groups was evaluated and compared according to the Glasgow Coma Score (GCS).Results In the treatment group,there were good in 10 cases,mild disability in 10 cases,severe disability in 9 cases,vegetative state in 3 cases,deaths in 4 cases.In the control group,there were good in 7 cases,mild disability in 7 cases,severe disability in 11 cases,vegetative state patients in 5 cases,deaths in 10 cases,and the efficacy of the treatment group was significantly better than that of the control group (x2 =6.290,P =0.043).In the treatment group,there were 5 cases of electrolyte imbalance,6 cases of kidney dysfunction,8 cases of stress ulcer,8 cases of lung infection.In the control group,there were 11 cases of electrolyte disturbances,10 cases of renal dysfunction,11 cases of stress ulcer,15 cases of lung infection.The incidence rate of complications of the treatment group was significantly lower than the control group (x2 =831.6,P =0.020).Conclusion For hypertensive cerebral hemorrhage,early tracheotomy combined with hyperventilation treatment can improve the patients' survival rate and life quality.
