【摘要】 目的探讨高血压脑出血的最佳手术时机。方法将250例高血压脑出血手术病例按发病—手术间隔时间分为<7 h、7～24 h和>24 h 3组,分别进行术后并发症、近期疗效、远期疗效比较。结果 3组近期疗效(COS评分)及远期疗效(Barthel评分)差异无统计学意义(P>0.05)。<7 h组中有37例(39.8%)术后血肿复发或增大,高于7～24h组(11.4%)和>24h组(7.2%)(P<0.05);>24h组中上消化道出血、肺部感染发生率(98.5%)高于<7 h组(52.7%)和7～24h组(53.4%)(P<0.05);3组近、远期疗效差异无统计学意义(P>0.05)。结论脑出血发病后早期(7～24 h)是最佳的手术时机。更多还原

【Abstract】 Objective To explore the optimal operation opportunity for surgery of hypertensive intracerebral hemorrhage(HICH).Methods According to the time course of surgery,250 cases of HICH were divided into 3 groups of<7h group,7～24h group and>24h group.Surgery associated complications,short term outcomes and long term outcomes were compared retrospectively.Results There was no significant difference for the short term and long term outcomes among three groups(P>0.05 ).In the<7h group,there were 37cases(39.8%) happened with recur hemorrhage,the risk of recur hemorrhage was higher than other two groups(P<0.05).In the>24h group,the incident of upper gastrointestinal bleeding and pulmonary infection were higher than other two groups(P<0.05 ). Conclusion The early stage(7～24h) was the optimal operation opportunity for surgical treatment of HICH.更多还原