Analysis of the causes of postoperative bleeding in hypertensive intracerebral hemorrhage patients

VernacularTitle:高血压脑出血术后再出血相关危险因素分析
Author: Jingrui SHANG ; Chunlai WANG ; Hongliang WANG ; Chuanqing MA ; Wei WANG ; Xianjun WANG
Publication Type:Journal Article
Keywords: Cerebral hemorrhage; High blood pressure; Department of Neurosurgery operation; Rebleeding
From: Chinese Journal of Primary Medicine and Pharmacy 2016;23(19):2959-2961,2962
CountryChina
Language:Chinese
Abstract: Objective To explore the reasons for rebleeding and its coping strategies.Methods To study the 19 hypertensive intracerebral hemorrhage patients'medical records who suffered postoperative rebleeding in our department from June 2011 to May 2015.Results Rebleeding time:within 6 hours:11 cases,6 ~24 hours:5 cases, 2 ~3 weeks:3 cases.Among 19 cases,hematoma puncture drainage in 2 cases,small bone window craniotomy surgery in 9 cases,craniotomy with big bone flap decompression in 8 cases,6 cases with severely disabled and 7 cases died. Conclusion Intraoperative bleeding operation is not standardized,early postoperative blood pressure control failure in patients,preoperative instability function are the main causes of postoperative bleeding.Choosing a better operating time,the specification intraoperative hemostasis and controlling blood pressure to stable after surgery can reduce the membership of hypertensive intracerebral hemorrhage incidence of postoperative bleeding.