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本院1990～2000年共有高血压脑出血开颅术后并发再出血的老年患者13例,经积极处理后,取得了较好的效果。一、临床资料:13例中男性患者8例,女性患者5例,年龄最大87岁,最小60岁,平均年龄67.5岁。行血肿清除术10例,脑室外引流去骨瓣减压术3例,其中9例治愈,4例死亡。术后症状及体征:意识清醒转昏迷6例,持续昏迷3例,抽搐1例,瞳孔改变8例,肢体运动障碍9例。出血部位均位于原手术区,出血量20～80ml。
Our hospital from 1990 to 2000 a total of hypertensive intracerebral hemorrhage craniotomy complicated by re-bleeding in 13 cases of elderly patients, after active treatment, and achieved good results. First, the clinical data: 13 cases of male patients in 8 cases, 5 cases of female patients, the oldest 87 years old, minimum 60 years old, mean age 67.5 years old. Hematoma removal in 10 cases, extracerebral drainage of ciliary flap decompression in 3 cases, of which 9 cases were cured, 4 died. Postoperative symptoms and signs: conscious consciousness to coma in 6 cases, 3 cases of coma, convulsions in 1 case, pupil changes in 8 cases, 9 cases of limb movement disorders. Bleeding sites are located in the original surgical area, the amount of bleeding 20 ~ 80ml.