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术后大脑内出血,是颈动脉内膜剥脱术的少见并发症,发生率低于1％,产生这种并发症的原因,可能有近期或陈旧性脑梗塞、术后高血压或术后使用全身性抗凝剂。最近,有人提出了一种与上面不同的观察,它是一种基于“正常灌注压突破发生出血”的假设。 作者把Mayo临床1972—1986年2362例由于颈动脉闭塞作过内膜剥脱术中发生大脑出血的14例进行了回顾性分析。 14例病人中男女各7例,年龄55～77岁,平均为69岁。所有病人的大脑内出血均发生在手术同侧。9例出血较多,其中4例为大出血。14例中,因出血死亡8例,2例
Postoperative intracerebral hemorrhage, a rare complication of carotid endarterectomy, the incidence of less than 1%, the causes of this complication may be recent or old cerebral infarction, postoperative hypertension or postoperative use of the whole body Anticoagulants. Recently, a different observation has been proposed that is based on the assumption that “bleeding occurs with normal perfusion pressure breakthrough”. The authors retrospectively reviewed 1462 cases of cerebral hemorrhage during Mayo Clinic from 1972 to 1986 due to carotid artery occlusion during endarterectomy. There were 7 males and 14 females in each of 14 patients, aged 55-77 years, with an average of 69 years. All patients with intracerebral hemorrhage occurred on the same side of the surgery. 9 cases of bleeding more, of which 4 cases of bleeding. Among 14 cases, 8 died of hemorrhage and 2 died of bleeding