Clinical analysis of 230 cases of early individual surgery treatment of senile hypertensive intracerebral hemorrhage

Jun Tian, Hai-kang Zhao, Zhou Fei, Xia Li

Abstract


To discuss the early individualized surgery for hypertensive intracerebral hemorrhage in old people and improve the outcome of treatment. Methods: Retrospective analysis of 230 old people cases (age > 60) with hypertensive intracerebral hemorrhage in recent five years, who undergo large bone flap surgery or small bone window craniotomy. Results: After comparing evacuation rate of hematoma, mortality, and postoperative complications in two methods of surgery, there was no significant difference between two groups at 2 weeks and 6 month follow-up. But, the amount of intraoperative blood transfusion and time of surgery was less in small bone window craniotomy group. Conclusion: Selection of large bone flap surgery or small bone window craniotomy should be decided according to situation of aged hypertensive intracerebral hemorrhage. Individualized surgery method and optional time of surgery might improve outcome of aged hypertensive intracerebral hemorrhage.

Keywords


Aged hypertensive; Intracerebral hemorrhage; Surgery

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DOI: http://dx.doi.org/10.14725/gjccd.v4n1a1430

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Global Journal of Cardiovascular and Cerebrovascular Diseases

ISSN 2309-3374 (Print)  ISSN 2375-4095 (Online)