| ObjectiveObjective: To primary investigate the process and outcome( discharge state ) of hypertensiveintracerebral hemorrhage(HICH) treated by micro-invade drainage, generally analyze the factors whichinfluence operative effect and,reasonably intervene the relevant factors in order to improve the operationeffectiveness.Methods: The clinic data of 61 patients suffering from HICH treated by micro-invade drainage, includingage, sex, location of hematoma, whether hematoma break into ventricle or not, volume of hematoma, meanartery pressure(MAP), GCS, time from stroke onset to operation(T) and post-operative complications. Dividedthem into two groups: Group 1 and Group 2 according to whether there had high risk factors or post-operativecomplications. Analyzed each factor with statistic methods, judged whether they had difference between twogroups. Combing with statistic results, analyzed the factors which influence postoperative process andoutcome, respectively.Results: The difference of age, GCS, location of hematoma, whether hematoma break into ventricle ornot, time from stroke onset to operation, days in hospital and GOS of the discharge state of the survivors hadstatistic significance ( P<0.05) between the two groups. There were no statistic significance (P>0.05) with sex,preoperative MAP and volume of hematoma.Conclusions: Microsurgery with drainage is a excellent minimally invasive method, to the traditionalcraniotomy it is easier and more effective. Age, GCS, location of hematoma, whether hematoma break intoventricle or not, time from stroke onset to operation and postoperative complications had affect significantlyto the postoperative process and prognosis. Strictly choosing the operation time and way according topatients'condition and CT manifestations before operation, exactly taking care of every patient, finding outand deal with complications after operation are pivotal to improve operative effect and security.
|
PDF Full Text Request