摘要
目的：回顾性分析178例高血压脑出血术后脑缺血，脑水肿的相关因素及治疗方法。方珐：随机将术后5～7d后采用扩张血管降低血液粘滞度等药物的分为一组（治疗组）共108例。另一组为术后一直未用扩管药物的病例70例（对照组）。并就两组病人的术后，功能康复的等级（ADL）及住院日等进行分析。结果：术后使用扩管药物组的ADL预后分级明显好于对照组，其住院日也明显缩短。结论：高血压脑出血术后5～7d采用扩张血管改善微循环药物，其愈后明显优于不用扩管药物。故作者主张高血压脑出血术后5～7d采用扩管及降低血液粘滞度药物，有利于脑功能的康复。
Objective. To analyze the related factors and management of cerebral ischemia and hydrocephalus hypertensive intracerebral hemorrhage postoperatively in 178 cases. Methods. 178 cases randomly divided into two groups, experimental （108 cases） and control （70 cases） group. 5-7days postoperatively, experimental group received medicine for vessel dilatation and blood viscosity reduction, while control didn＇t take the medicine. ADL and hospital stay were compared between the two groups. Results： ADL recovered better in experimental group than that in control, and hospital stay was evidently shorter. Conclusions： Medicine for dilating blood vessel should be given in 5-7days postoperatively in patients with hypertensive intracerebral hemorrhage, because of a better prognosis.
出处
《海南医学院学报》
CAS
2007年第3期256-258,共3页
Journal of Hainan Medical University
关键词
脑缺血
高血压脑出血
手术
Cerebral Ischemia
Hypertensive intracerebral hemorrhage
Surgery
