CAJ | 학술논문

目的：：探讨重症高血压脑出血术后患者气管切开手术时机对预后的影响。方法：对重症高血压脑出血术后患者行气管切开术47例，按切开时机分为早切组25例(≤24 h)和非早切组22例(>24 h)。比较2组患者1周后的格拉斯哥昏迷评分、肺部感染、低氧血症发生率及病死率。结果：早切组1周后的格拉斯哥昏迷评分高于非早切组(P<0.05)，而肺部感染、低氧血症发生率及病死率均低于非早切组(P<0.05~P<0.01)。结论：重症高血压脑出血术后患者早期行气管切开能明显改善患者预后，降低患者病死率和肺部感染的发生率。
목적：：탐토중증고혈압뇌출혈술후환자기관절개수술시궤대예후적영향。방법：대중증고혈압뇌출혈술후환자행기관절개술47례，안절개시궤분위조절조25례(≤24 h)화비조절조22례(>24 h)。비교2조환자1주후적격랍사가혼미평분、폐부감염、저양혈증발생솔급병사솔。결과：조절조1주후적격랍사가혼미평분고우비조절조(P<0.05)，이폐부감염、저양혈증발생솔급병사솔균저우비조절조(P<0.05~P<0.01)。결론：중증고혈압뇌출혈술후환자조기행기관절개능명현개선환자예후，강저환자병사솔화폐부감염적발생솔。
Objective:To investigate the tracheotomy timing and its effects on prognosis in severe hypertensive intracerebral hemorrhage patients after operation. Methods:The patients with severe hypertensive intracerebral hemorrhage after operation(47 cases) were divided into the early cutting group( less than or equal to 24 h,25 cases) and non-early cutting group( more than 24 h,22 cases) according to the tracheotomy timing. The Glasgow coma score ( GCS ) , pulmonary infection, incidence of hypoxemia and fatality rate between two groups were compared after 1 week of tracheotomy. Results:After 1 week of tracheotomy,the GCS in the early cutting group was higher than that in non-early cutting group(P<0. 05),and the pulmonary infection,incidence of hypoxemia and fatality rate in the early cutting group were lower than those in non-early cutting group(P< 0. 05 to P< 0. 01). Conclusions:The early tracheotomy can significantly improve the prognosis, and reduce the fatality rate and incidence of pulmonary infection in postoperative patients with hypertensive cerebral hemorrhage.