CAJ | 학술논문

目的探讨高血压脑出血术后脑梗死的发病原因及临床救治措施. 方法回顾性分析我院自2000年1月至2007年1月间收治的17例高血压脑出血术后脑梗死患者的临床资料. 结果本组所有患者经治疗后按日常生活能力分级(GOS评分):Ⅰ级(能独立活动,无需帮助或指导)5例,Ⅱ级(能活动,但需指导)6例,Ⅲ级(需人帮助,扶拐可走)4例,Ⅳ级(卧床但保持意识)1例,Ⅴ级(植物生存)1例. 结论脑梗死是高血压脑出血术后严重并发症之一,治疗复杂,早期诊断和防治是降低残死率、提高生存质量的关键.
목적 탐토고혈압뇌출혈술후뇌경사적발병원인급림상구치조시. 방법 회고성분석아원자2000년1월지2007년1월간수치적17례고혈압뇌출혈술후뇌경사환자적림상자료. 결과 본조소유환자경치료후안일상생활능력분급(GOS평분):Ⅰ급(능독립활동,무수방조혹지도)5례,Ⅱ급(능활동,단수지도)6례,Ⅲ급(수인방조,부괴가주)4례,Ⅳ급(와상단보지의식)1례,Ⅴ급(식물생존)1례. 결론 뇌경사시고혈압뇌출혈술후엄중병발증지일,치료복잡,조기진단화방치시강저잔사솔、제고생존질량적관건.
Objective To explore the etiology and clinical countermeasures for cerebral infarction following surgeries for hypertensive cerebral hemorrhage (HCH). Methods The clinical data of 17 patients with cerebral infarction following surgeries for HCH treated in our department between January, 2000 and January, 2007 were analyzed retrospectively. Results All the patients received appropriate treatment and were subsequently rated for Glasgow Outcome Score (GOS), which was grade Ⅰ in 5 patients (capable of independent daily activities without assistance or instructions), grade Ⅱ in 6 patients (capable of activities with instructions), grade Ⅲ in 4 patients (activities requiring assistance and capable of assisted walking), grade Ⅳ in 1 patient (bed-redden but conscious), and gradeⅤ in 1 patient (vegetative state). Conclusion As one of the severe complications of surgeries for HCH, cerebral infarction involves complex etiologies, and early diagnosis and comprehensive treatment are crucial for decreasing the mortality and disability rates to improve the quality of life of the patients.