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1989～1993年,我们对126例高血压脑出血患者施行手术治疗,术后发生再出血8例(6.35％),其中男6例、女2例,年龄48～74岁。原出血位于基底节内侧3例,外囊区3例,脑叶2例,其中破入脑室系统3例;再次出血均发生于原血肿部位。出血量第1次平均为47ml(30～70ml),第2次平均48ml(30～100ml);两次出血相隔≤24小时2例,48小时2例,1周2例,1个月1例,2个月1例。再次出血后行血肿清除术5例,钻孔引流1例,保守治疗2例。结果:死亡3例,植物生存2例,遗有偏瘫失语3例。
From 1989 to 1993, 126 patients with hypertensive intracerebral hemorrhage underwent surgery. There were 8 cases (6.35%) of rebleeding after operation, including 6 males and 2 females, aged 48-74 years. The hemorrhage was located in the medial basal ganglia in 3 cases, 3 cases of outer capsule, 2 cases of cerebral lobe, which broke into the ventricular system in 3 cases; rebleeding occurred in the original hematoma site. Bleeding volume averaged 47 ml (30-70 ml) for the first time and 48 ml (30-100 ml) for the second time; two cases were ≤24 hours after two bleeds, two cases at 48 hours, two cases at one week and one case at one month , 1 case in 2 months. Hemorrhage after hematoma removal in 5 cases, drilling drainage in 1 case, conservative treatment in 2 cases. Results: There were 3 deaths, 2 cases of plant survival and 3 cases of hemiplegia left aphasia.