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Objective To investigate the impact of supratentorial cerebral hemorrhage minimally invasive hematoma aspiration and drainage prognostic clinical features and operative techniques , surgical prognosis and norms operative clinical reference . Research method of Neurology, Tongji Hospital, Tongji Medical College , Huazhong University of Science and Technology from January 2006 to October 2010 admitted supratentorial brain hemorrhage minimally invasive hematoma aspiration and drainage patients for the study, by screening , collect the patient's clinical characteristics ( general information , admission blood pressure , preoperative and postoperative level of consciousness , baseline hematoma volume , hematoma location , rebleeding ) and operative information ( operation time , the first suction rate , needle injection time , hematoma clearance rate , hematoma clearance rate ) , the follow-up of patients in June prognosis (GOS), by univariate analysis and multivariate Logistic regression analysis to identify prognostic clinical features and operative skills . Results after June prognosis GOS5 points , 18 cases ( 13.1% ) , GOS4 points in 43 cases (31.4 % ) , GOS3 points in 40 patients (29.2 % ) , GOS2 points in 4 patients ( 2.9% ) , GOS1 points in 32 cases (23.4 %) . Univariate analysis , the of different hematoma volume ( p = 0.002 ) , preoperative GCS (p lt ; 0.001 ) , one week after the GCS (p lt; 0.001) and hematoma location (p = 0.001) between the two groups prognosis statistically different . The prognosis varies between different hematoma clearance and the clearance rate group (p lt; 0.001, p = 0.001). Rebleeding in patients with poor prognosis ( mortality rate of 75.0% ) . The prognosis was not statistically different between the different gender , age, systolic blood pressure, surgery time and needle injection time group . In multivariate analysis , age , hematoma location, preoperative GCS, hematoma clearance rate and rebleeding is an independent prognostic predictive factors . Conclusion supratentorial intracerebral hemorrhage minimally invasive patients hematoma aspiration and drainage , senior citizens , a large hematoma , preoperative GCS low and deep hematoma indicates poor prognosis . Surgical operation , the first time the suction rate does not affect prognosis , hematoma clear multi prognosis is good , but to be alert to the occurrence of rebleeding . Rebleeding in patients with poor prognosis.
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