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Clinical Analysis of Rebleeding after Treatment of Hypertensive Intracerebral Hemorrhage by Minimally Invasive Surgery

LI Ning,LI Ai-min,LIU Xi-guang. Department of Neurosurgery,The First People's Hospital of Lianyungang City,Lianyungang Jiangsu 222002,China  
Objective To explore the cause,prevention and treatment of rebleeding after treatment hypertensive intracerebral hemorrhage by minimally invasive surgery. Methods Twenty-four patients of 236 patients with hypertensive intracerebral hemorrhage who underwent paracentesis and drainage of intracranial hematomas suffered from intracranial rebleeding and their clinical data were analysed retrospectively. Results The rebleeding occurred within 6 hours after the operation in 12 patients (50.0%,12/24) from 7 to 24 hours after the operation in 8 patients (33.3%,8/24) and from 25 to 72 hours after the operation in 4 patients (16.7%,4/24). The rebleeding was significantly related to the pre-operative and postoperative systolic blood pressure(P0.05),while not to diastolic blood pressure of 24 patients,19 were cured,1 was discharged from hospital according to his demand and 4 died. Conclusions The advantages of minimally invasive surgery for hypertensive intracerebral hemorrhage include less trauma,patients quick recovery and low expense,but the operation should be performed within 6 hours after hemorrhage and the preoperative and postoperative blood pressure should keep stable in order to decrease rebleeding.
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