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目的探讨高血压脑出血术后脑梗死发生的原因及预防和治疗的措施。方法回顾性分析周口市中心医院收治的90例高血压脑出血术后脑梗死的临床资料。52例术后3d、8例术后6d复查CT见脑梗死征象,其中70例为同侧顶枕叶凸面,14例为同侧额叶,6例为对侧大脑基底节区。并发脑梗死后停用止血药、加强脱水、充分补液、应用血管解痉及改善微循环药物。结果生存85例,死亡5例。生存者按ADL标准,Ⅰ级+Ⅱ级42例,Ⅲ级+Ⅳ级38例,Ⅴ级5例。结论高血压脑出血术后脑梗死是多因素共同作用的结果。术中、术后采取正确的预防和治疗措施,可提高临床疗效。
Objective To investigate the causes of cerebral infarction after hypertensive intracerebral hemorrhage and the preventive and therapeutic measures. Methods The clinical data of 90 patients with hypertensive intracerebral hemorrhage after cerebral infarction treated in Zhoukou Central Hospital were retrospectively analyzed. Fifty-two cases were retrospectively reviewed in 52 cases at postoperative day 3 and 8 at 6th day after surgery. Among them, 70 were ipsilateral occipital lobes, 14 were ipsilateral frontal lobes, and 6 were contralateral cerebral basal ganglia. Stop the use of hemostatic drugs after cerebral infarction, enhance dehydration, adequate rehydration, application of vascular spasm and improve microcirculation drugs. The results of survival in 85 cases, 5 deaths. Survival according to ADL criteria, Ⅰ grade + Ⅱ grade 42 cases, Ⅲ grade + Ⅳ grade 38 cases, Ⅴ grade 5 cases. Conclusion Hypertensive intracerebral hemorrhage after cerebral infarction is a result of many factors. Intraoperative and postoperative take the correct preventive and therapeutic measures can improve clinical efficacy.