摘要
目的讨论口服抗血小板药物并发脑出血的急诊手术治疗效果。方法首选确定选择对象,将其选择范围确定在于我院接诊的口服抗血小板药物并发脑出血患者,样本数是63例,然后确定样本选择时间,时间在2018年8月至2019年10月,所有患者均经急诊接受治疗,回顾性分析患者接受急诊手术治疗的具体临床疗效。结果26例患者行开颅去血肿清除联合去骨瓣减压术,28例患者在CT下进行血肿穿刺置管外引流术,9例患者经钻孔血肿中心置管治疗。经过不同手术治疗之后,24例(38.09%)患者可生活自理,35例(55.56%)患者出现不同程度的后遗症,4例(6.34%)死亡。结论通过对数据进行研究和分析后显示,口服抗血小板药物并发脑出血患者经急诊手术并不理想,需要尽早给予促凝药物,促进其术后恢复。
Objective To discuss the effect of emergency surgical treatment of oral antiplatelet drugs complicated with cerebral hemorrhage.Methods The first choice is to determine the selection object,and the selection range is determined to be 63 patients with oral antiplatelet drugs complicated with cerebral hemorrhage in our hospital,and then determine the time of sample selection,which is from August 2018 to October 2019.All patients were treated in emergency department.The specific clinical efficacy of emergency surgery was retrospectively analyzed.Results 26 patients were treated with craniotomy and hematoma removal combined with decompressive craniectomy,28 patients were treated with hematoma puncture and external drainage under CT,and 9 patients were treated with central catheter through drilling hematoma.After different surgical treatments,24 patients(38.09%)could take care of themselves,35 patients(55.56%)had sequelae of varying degrees,and 4 patients(6.34%)died.Conclusion Through the research and analysis of the data,it is shown that the emergency operation is no ideal for the patients with oral antiplatelet drugs complicated with cerebral hemorrhage.It is necessary to give anticoagulant drugs as soon as possible to promote their postoperative recovery.
作者
时春雷
SHI Chun-lei(Department of Emergency Surgery FAW General Hospital,Changchun,Jilin 130011)
出处
《智慧健康》
2020年第29期53-55,共3页
Smart Healthcare
关键词
抗血小板药物
并发脑出血
急诊手术
效果
Antiplatelet drugs
Cerebral Hemorrhage
Emergency surgery
Effect
