Effect Of Early Micro-surgery On Secondary Brain Injury And Prognostic In Patients With Intracerebral Hemorrhage

ObjectiveEarly surgical intervention on the small amount of micropores (18~35m1) hypertensive basal ganglia hemorrhage brain edema and prognosticfactors.Methods60patients with bas al ganglia hemato ma,30cases withpuncture and drainage into porous,30patients with conservative treatmentgroup; for two weeks after admission1,2,3increment of relative cerebraledema, ADL incremental comparison; using multiple lines Regression tostudy the relative swelling increment, awareness, physical activity,language, GCS score and other variables associated with ADL increment.ResultsAfter3weeks,3months after treatment follow-up ADL increment(less the time of admission) were as follows: porous group30.367±10.105,51.467±15.82, a conservative group16.8±7.374,39.1±10.393, after statistical processing, were Significant difference (P <O.05);1,2,3weeks after admission the state of consciousness, physical activity,language and GCS score increased volume (more at admission) group wassignificant difference (P <O.05); edema Incremental Comparative Analysis:Week1,2,3, respectively: Microporous group0.122±0.346,-0.014±0.339,-0.127±0.308, a conservative group0.495±0.214,0.362±0.276,0.077±0.197, after statistical processing, were significantly different (P <O.05);surgery, age, pulmonary infection, edema factor and the time of admissionon the prognosis of the bleeding area with a clear correlation (P <0.05), inwhich surgery and prognosis of the largest (r=0.615), followed by age,admission edema factor, lung infection, bleeding site.ConclusionFor medium and small quantity of basal ganglia hematomas: surgicalintervention can reduce the volume of hematoma, reduces secondary braininjury to improve the prognosis;brain edema increment and prognosis ofHICH showed a linear correlation； micro puncture drainage is better thanconservative treatment in the amount cerebral hemorrhage.