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《Contemporary Medicine》 2017-35
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Comparative analysis of different surgical timing for hypertensive intracerebral hemorrhage

Li Feng;Ganzhou municipal hospital, Department of Neurosurgery;  
Objective To compare and analyze the clinical effects of different surgical timing on hypertensive intracerebral hemorrhage. Methods Treated 60 cases of patients with hypertensive cerebral hemorrhage, according to the different timing of surgery for ultra early group(7 h surgery bleeding), early group(ICH 8-24 h surgery group) and delayed group(bleeding after 24-48 h surgery group), 20 patients in each group underwent minimally invasive removal of intracranial hematoma, and rebleeding complications of patients with surgical treatment were compared between the 3 groups to observe the effect, prognosis, postoperative. Results The excellent rate of ultra early group treatment was significantly higher than that of early and delayed groups, good prognosis rate was significantly higher than that of early and delayed groups, the incidence of postoperative complications was significantly lower than that in the early group and delayed group, the rate of rebleeding was significantly higher than that in the early group and delayed group(P0.05), the difference has statistical significance. Conclusion Patients with ultra early and early surgery is better than delayed surgery for hypertensive cerebral hemorrhage, less postoperative complications, patients can effectively improve prognosis, reduce mortality, but should pay attention to the higher risk of rebleeding after ultra early surgery, should choose the proper operation time according to the specific circumstances of patients.
【CateGory Index】: R651.12
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