摘要
目的分析总结青年高血压脑出血临床诊疗特点,为优化其治疗方法提供依据。方法选取我院近5年收治的青年高血压脑出血40例,对其临床表现、影像学表现、发病至手术时间、手术方法及预后进行分析。结果术后1个月及术后6个月的预后良好率差异显著(P<0.05);性别、术前GCS评分、术前血肿量均未能对术后6个月预后产生影响;超早期手术(≤6 h)患者的预后更差;对于不同级别出血量的患者,采用钻孔引流术或传统开颅手术,其预后无差异(P>0.05)。结论青年高血压脑出血往往起病急、病情重、发展迅速,针对不同病例选取个体化手术方案能够优化其治疗效果。
Objective The clinical diagnostic and therapeutic features for youth hypertension cerebral hemorrhage were discussed to provide the basis for optimizing the treatment. Methods A total of 40 cases of youth hypertension cerebral hemorrhage admitted to our hospital in recent five years were selected and the clinical manifestations, imaging -ndings, operation time, operation methods and prognosis were analyzed. Results There was significant difference in good prognosis rate in post-operative 1 month and 6 months （P 〈 0. 05） ; gender, pre- operative GCS score, pre-operative hematoma volume failed to affect the prognosis of 6 months post-operatively; super early （ -〈6 h） surgery got poorer prognosis; for patients with different volume of blood loss, the drilling drainage and traditional surgical operation made no difference in prognosis （P 〉 0. 05）. Conclusion Hypertension cerebral hemorrhage in young patients may be urgent and severe and develops rapidly, so an individual operation scheme for different cases can optimize its therapeutic effect.
出处
《中华神经外科疾病研究杂志》
CAS
2016年第6期493-496,共4页
Chinese Journal of Neurosurgical Disease Research
关键词
青年
高血压脑出血
Youth
Hypertension cerebral hemorrhage
