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目的探讨冠心病介入治疗术后发生颅内出血的临床特点及治疗方法。方法回顾性分析8例在冠心病介入治疗术后发生颅内出血病人的临床资料,采取保守治疗5例,血肿钻孔引流术1例,脑室外引术2例。对其颅脑CT、手术前后凝血功能、血小板计数及临床诊治经过进行研究。结果 5例保守治疗的病人中,3例血肿逐渐增大,分别于介入术后2.5 h、6 h、67 h死亡,另2例好转。3例微创治疗的病人,术后颅内血肿一度减少,但因肺部感染死亡2例,脑疝死亡1例。结论冠心病介入治疗术后早期易发生颅内出血,且出血容易进展,病死率高。早发现、早治疗可提高病人生存率。
Objective To investigate the clinical features and treatment of intracranial hemorrhage after coronary intervention. Methods The clinical data of 8 patients with intracranial hemorrhage after coronary intervention were retrospectively analyzed. Five cases were treated conservatively, one was treated by drilling and drainage of hematoma, and two were extracerebroventricularly. Its brain CT, coagulation function before and after surgery, platelet count and clinical diagnosis and treatment after the study. Results Of the 5 conservatively treated patients, 3 had hematoma gradually increased and died at 2.5 h, 6 h and 67 h after intervention, respectively. The other 2 patients improved. 3 cases of minimally invasive treatment of patients with intracranial hematoma decreased after surgery, but died of pulmonary infection in 2 cases, 1 case of cerebral hernia death. Conclusion Interventional treatment of coronary heart disease prone to intracranial hemorrhage early, and hemorrhage prone to progress, high mortality. Early detection, early treatment can improve patient survival.