CAJ | 학술논문

目的：探讨贫血和围手术期输血的脑出血患者术后并发症和病死率情况，为临床提供参考。方法回顾性分析实施开颅手术的脑出血患者223例的临床资料，比较输血患者与未输血患者，中重度贫血患者与无中重度贫血患者术后住院时间、术后并发症及术后病死率情况。结果27例中重度贫血患者与196例无中重度贫血患者术后住院时间、术后感染、急性呼吸衰竭、急性肾衰竭及术后病死率比较差异有统计学意义（ P＜0.05）；56例输血患者与167例未输血患者术后住院时间、术后感染、急性呼吸衰竭、急性肾衰竭及术后病死率比较差异有统计学意义（ P＜0.05）。结论中重度贫血及围手术期输血的脑出血患者预后差。
목적：탐토빈혈화위수술기수혈적뇌출혈환자술후병발증화병사솔정황，위림상제공삼고。방법회고성분석실시개로수술적뇌출혈환자223례적림상자료，비교수혈환자여미수혈환자，중중도빈혈환자여무중중도빈혈환자술후주원시간、술후병발증급술후병사솔정황。결과27례중중도빈혈환자여196례무중중도빈혈환자술후주원시간、술후감염、급성호흡쇠갈、급성신쇠갈급술후병사솔비교차이유통계학의의（ P＜0.05）；56례수혈환자여167례미수혈환자술후주원시간、술후감염、급성호흡쇠갈、급성신쇠갈급술후병사솔비교차이유통계학의의（ P＜0.05）。결론중중도빈혈급위수술기수혈적뇌출혈환자예후차。
Objective To investigate the complications and the case fatality rates in patients of brain hemorrhage with anemia or received blood transfusion , provide reference for clinical studies.Methods The clinical data of 223 patients with brain hemorrhage undergoing operation were retrospectively analyzedto compare the postoperative length of stay , the incidence of complications and the case fatality rates.Results The postoperative length of stay , the postoperative infection rates , acute respiratory failure rates , acute renal failure rates and the case fatality rates between the patients of severe anemia (27 cases) and the patients of not severe anemia (196 cases) were significantly different (P<0.05).The postoperative length of stay, the post-operative infection rates , acute respiratory failure rates , acute renal failure rates and the case fatality rates be-tween the patients who received blood transfusion ( 56 cases ) and those who didn't receive blood transfusion (167 cases) were significantly different (P<0.05).Conclusion Severe anemia and transfusion of blood are associated with worse prognosis in the patients with brain hemorrhage.