Clinical Analysis of Postoperative Re-hemorrhage in Hypertensive Intracerebral Hemorrhage
RAN Xiao-ping
LI Tao
Abstract：Objective:To explore the reasons and preventive strategies of re-hemorrhage in patients with hypertensive intracerebral hemorrhage(ICH). Method:The data of 32 cases hypertensive ICH patients with re-hemorrhage after operation within recent 5 years were analyzed retrospectively.Result:The second operation with hematoma evacuation was performed in 17 cases;12 cases received conservative therapy,and the remaining 3 cases were discharged voluntarily.At discharge,6 cases could live independently,17 cases had severe sequelae including hemiplegia,aphasia and dependent living.Vegetative state was in 3 cases, and died in 3 cases.Conclusion:The major reasons of re-hemorrhage in patients with hypertensive ICH include intraoperative poor hemostasis and postoperative large blood pressure fluctuation.The good intraoperative hemostasis and postoperative stable blood pressure control are the most important factors to reduce the occurrence of re-hemorrhage.
Keywords：Hypertensive intracerebral hemorrhageRe-hemorrhageSurgery
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 10-11 )