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本文回顾分析了我科１９９５年至１９９７年６月连续收治的７４例高血压脑出血病例，旨在了解影响高血压脑出血外科治疗后的相关因素。方法：根据７４例出院ＧＯＳ评分，分为三组：死亡组２１例（２８．４％），不良组包括植物生存和重残病例２１例（２８．４％），良好组包括良好和中残病例３２例（４３．２％），对年龄、性别、血压、瞳孔变化，ＧＣＳ计分，出血部位、出血量、继发性脑室出血、是否有并发症等因素进行统计学分析。结果：年龄、性别各组间无差异，而各组间的ＧＣＳ计分，血压、瞳孔变化、出血量、出血部位、继发性脑室出血、并发症发生率有显著差异。结论：年龄、性别对高血压脑出血外科疗效无明显影响，而血压高，尤其平均动脉压超过１３０ｍｍＨｇ，瞳孔不等大，血肿量≥６０ｍｌ，破入脑室，并发症的发生均影响疗效，大脑皮层下出血，小脑半球出血生存质量相对好于基底节区出血者
This paper retrospectively analyzed 74 consecutive cases of hypertensive intracerebral hemorrhage admitted from 1995 to June 1997 in our department to understand the related factors that influence the surgical treatment of hypertensive intracerebral hemorrhage. Methods: According to the 74 patients discharged from hospital, the GOS score was divided into three groups: 21 patients (28.4%) died in the death group, 21 patients (28.4%) in the poor group including plant survival and severe disability cases, and good group Thirty-two cases (43.2%) had statistical analysis of age, gender, blood pressure, pupil change, GCS score, bleeding site, bleeding volume, secondary ventricular hemorrhage and complications. Results: There was no difference between groups in age and sex, but there were significant differences in GCS scores, blood pressure, pupil changes, bleeding volume, bleeding sites, secondary ventricular hemorrhage and complications among groups. Conclusion: Age and sex have no significant effect on the surgical treatment of hypertensive intracerebral hemorrhage. High blood pressure, especially arterial pressure over 130mmHg, large pupil, hematoma ≥ 60ml, break into the ventricle, Subcortical hemorrhage, cerebellar hemisphere hemorrhage quality of life is better than basal ganglia hemorrhage