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目的 :探讨颅内肿瘤切除术后颅内血肿发生的相关因素。方法 :收集 1 81 2例颅内肿瘤切除病例 ,其中 42例发生术后颅内血肿。对这些资料进行回顾性总结 ,分析了性别、年龄、肿瘤类型、部位、是否全切除、术后瘤床脑脊液引流量及术后血压等因素与血肿发生的关系。结果 :肿瘤位于小脑蚓部和四脑室、残留、术后脑脊液引流量少于 1 0 0 ml,术后高血压与血肿发生相关 ,而与其它因素无关。结论 :肿瘤部位、术中残留、术后引流量少及血压变化是术后颅内血肿发生的相关因素。
Objective: To investigate the related factors of intracranial hematoma after intracranial tumor resection. Methods: A total of 1 81 2 cases of intracranial tumor resection were collected, of which 42 cases had postoperative intracranial hematoma. The data were retrospectively summarized, and the relationship between gender, age, tumor type, site, total resection, postoperative cerebrospinal fluid drainage and postoperative blood pressure and hematoma were analyzed. Results: The tumor was located in the cerebellar vermis and the fourth ventricle, and residual cerebrospinal fluid drainage was less than 100 ml. Postoperative hypertension was associated with hematoma but not with other factors. Conclusion: The location of the tumor, residual intraoperative, less postoperative drainage and changes in blood pressure are related to the occurrence of postoperative intracranial hematoma.