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目的 :探讨定向抽吸手术治疗高血压性脑出血引起术后再出血的因素。方法 :立体定向组使用立体定向仪。CT定位定向组不使用立体定向仪 ,根据CT片直接穿刺、抽吸血肿。结果 :采用多元Logistic回归分析 ,术后舒张压 P =0 0 3 2。结论 :高血压是否得到较好控制是决定再次脑出血的首要因素。控制血压是防止术后再次脑出血的重点
Objective: To investigate the factors of directional bleeding surgery after hypertensive intracerebral hemorrhage caused by postoperative bleeding. Methods: Stereotactic group using a stereotactic instrument. CT orientation group does not use the stereotactic orientation, direct puncture according to CT film, pumping hematoma. Results: Using multivariate Logistic regression analysis, postoperative diastolic pressure was P = 0 0 32. Conclusion: Whether hypertension is better controlled is the primary factor in deciding cerebral hemorrhage again. Control of blood pressure is to prevent postoperative cerebral hemorrhage again