Physical State and Surgical Strategy of Hematology in Hypertensive Cerebral Hemorrhage
SUN Shi-hang
LIU Bo
XIE Cai-lan
Abstract：Objective:To discuss the types of physical state of the hematology and operation mode in patients with hypertensive cerebral hemorrhage. Method:The physical state of the hematology in hypertensive cerebral hemorrhage was divided into mainly liquefied clot type,mainly blood clot type and mixed type.Corresponding surgical methods were used according to the type of physical state of the hematology before operation judged by preoperative patient history, medication history,DIC test,CT and other elements of the hematology.The types of physical state of the hematology before operation were compared with physical state of the hematology during operation in 103 cases with hypertensive cerebral hemorrhage.Result:The corresponding operation method was choosed according to the preoperative hematoma physical state judgment, more liquefied and hybrid hematoma were choosed minimally invasive surgical drainage of the hematoma, while type,blood clots was choosed more clear craniotomy hematoma.Liquefaction was given priority to type hematoma preoperative judge leakage misdiagnosis rate by about 2.1%,mixed hematoma preoperative judge leakage misdiagnosis rate by about 5.1%,Blood clots mainly type hematoma preoperative judge leakage misdiagnosis rate by about 50.0%.Conclusion:Improved typing accuracy of the physical state of hematology in hypertensive cerebral hemorrhage is beneficial to choose correspondingsurgical method,reduce surgical injury and secondary surgery,and improve the prognosis of patients.
Keywords：Hypertensive cerebral hemorrhagePhysical stateType
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( 12-13 )