Analysis of risk factors related to rebleeding after surgery and its prevention in patients with hypertensive cerebral hemorrhage
SHEN Hua
Abstract：Objective To study the risk factors related to rebleeding after surgery and measures of its prevention in the patients with hypertensive cerebral hemorrhage (HCH). Methods The clinical data of 50 patients with HCH, of whom, 14 had cerebral rebleeding and 36 not after the surgery, were analyzed retrospectively. The monofactorial and multifactorial analyses of the risk factors relate to the postoperative rebleeding were performed in these patients. Results The monofactorial analysis showed that the factors related to postoperative rebleeding included the long course of hypertension (>5 years), postoperative restless movement, postoperative fluctuation of blood pressure and intraoperatively undiscovered arteries responsible for the cerebral hemorrhage. The multifactorial analysis showed that the postoperative fluctuation of blood pressure and postoperatively undiscovered arteries responsible for the cerebral hemorrhage were the risk factors related to postoperative rebleeding. Conclusions It is suggested that the key to the prevention of cerebral rebleeding after the operation lies in the finding the arteries responsible for the cerebral hemorrhage and completely stopping bleeding in the operation as well keeping the blood pressure stabilizing after the operation in the patients with HCH.
Keywords：Hypertensive cerebral hemorrhagePostoperativeSurgery rebleeding risk factorsPrevention
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 366-367 )