CAJ | 학술논문

目的：探讨高血压脑出血手术效果及其影响因素，分析手术后死亡原因。方法对324例高血压脑出血手术病例进行回顾性分析，找出与手术后死亡相关的主要因素。结果入院后意识障碍越深病死率越高，IV级、V级病死率明显增高（P<0.01）；出血量越多病死率越高，＞80 mL最为明显（P<0.01）；出血部位越深病死率越高，丘脑及脑室出血病死率明显增加（P<0.05）；并发症中恶性颅内压增高与肺部感染是死亡的主要的直接原因（P<0.01）。结论患者的意识状态、出血量、出血部位及术后并发症影响高血压脑出血手术效果，是造成手术后死亡的主要因素。
목적：탐토고혈압뇌출혈수술효과급기영향인소，분석수술후사망원인。방법대324례고혈압뇌출혈수술병례진행회고성분석，조출여수술후사망상관적주요인소。결과입원후의식장애월심병사솔월고，IV급、V급병사솔명현증고（P<0.01）；출혈량월다병사솔월고，＞80 mL최위명현（P<0.01）；출혈부위월심병사솔월고，구뇌급뇌실출혈병사솔명현증가（P<0.05）；병발증중악성로내압증고여폐부감염시사망적주요적직접원인（P<0.01）。결론환자적의식상태、출혈량、출혈부위급술후병발증영향고혈압뇌출혈수술효과，시조성수술후사망적주요인소。
Objective To explore the effects and inlfuence factors of the patients with hypertensive intracerebral hemorrhage (HICH) after operation and analyze the causes of death after operation. Methods Clinical data of 324 cases with hypertensive intracerebral hemorrhage after operation was analyzed retrospectively, and tried to find out the primary related reasons of death based on the analysis. Results The patient’s consciousness obstructive level when they were admitted into hospital was more severe, the mortality was more higher. The mortality in IV, V level was increased obviously (P<0.01). The mortality was higher in the group that hemorrhage amount was larger. When hemorrhage >80mL, it was significant (P<0.01). The hemorrhage was deeper, the mortality was higher. The mortality increased significantly in the group of thalami and intraventricular hemorrhage (P<0.05). The important factors of the direct cause of death were pernicious intracranial hypertension and pulmonary infection in complications (P<0.01). Conclusion Consciousness obstructive level, regions of hemorrhage, amount of hemorrhage, and complications were important factors that affected the postoperation mortality in patient with hypertensive intracerebral hemorrhage.