【摘要】 目的:探讨重症高血压脑出血术后患者气管切开手术时机对预后的影响。方法:对重症高血压脑出血术后患者行气管切开术47例,按切开时机分为早切组25例(≤24 h)和非早切组22例(>24 h)。比较2组患者1周后的格拉斯哥昏迷评分、肺部感染、低氧血症发生率及病死率。结果:早切组1周后的格拉斯哥昏迷评分高于非早切组(P<0.05),而肺部感染、低氧血症发生率及病死率均低于非早切组(P<0.05~P<0.01)。结论:重症高血压脑出血术后患者早期行气管切开能明显改善患者预后,降低患者病死率和肺部感染的发生率。更多还原

【Abstract】 Objective: To investigate the tracheotomy timing and its effects on prognosis in severe hypertensive intracerebral hemorrhage patients after operation. Methods: The patients with severe hypertensive intracerebral hemorrhage after operation( 47 cases)were divided into the early cutting group( less than or equal to 24 h,25 cases) and non-early cutting group( more than 24 h,22 cases)according to the tracheotomy timing. The Glasgow coma score( GCS),pulmonary infection,incidence of hypoxemia and fatality rate between two groups were compared after 1 week of tracheotomy. Results: After 1 week of tracheotomy,the GCS in the early cutting group was higher than that in non-early cutting group( P < 0. 05),and the pulmonary infection,incidence of hypoxemia and fatality rate in the early cutting group were lower than those in non-early cutting group( P < 0. 05 to P < 0. 01). Conclusions: The early tracheotomy can significantly improve the prognosis,and reduce the fatality rate and incidence of pulmonary infection in postoperative patients with hypertensive cerebral hemorrhage.更多还原