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目的:分析脑外伤术后再出血的原因和处理方法。方法:针对本院从2011年1月至2014年5月收治的脑外伤患者因术后再出血行二次手术的66例病例进行回顾性分析。结果:该组病例入院时病情多较重,GCS评分<8分占60.1%;再次出血多在术后24h内出现,占94.0%。出血原因主要包括脑挫裂伤灶清除不彻底、手术操作不当、减压后再出血、凝血机制障碍、术后血压升高等。结论:术后再出血原因较多,在手术之前要做好准备,在手术过程中以及在手术之后,都要注意再出血问题。
Objective: To analyze the causes and treatment of rebleeding after traumatic brain injury. Methods: A retrospective analysis was performed on 66 cases of traumatic brain injury treated in our hospital from January 2011 to May 2014 for secondary surgery after rebleeding. Results: The patients in this group were more serious on admission. The GCS score <8 was 60.1%. The more bleeding occurred again within 24 hours after operation, accounting for 94.0%. The main causes of bleeding include brain contusion and laceration lesions are not completely removed, improper operation, rebleeding after decompression, coagulation disorders, postoperative blood pressure and so on. CONCLUSIONS: There are many reasons for postoperative bleeding and should be prepared before the operation. During the operation and after the operation, attention should be paid to the rebleeding problem.