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Objective To evaluate the surgical treatment of hypertensive intracerebral hemorrhage of small bone window security ; explore the influence prognosis factors . Methods A retrospective analysis of clinical data of 51 patients with hypertensive intracerebral hemorrhage , t-test , Wilcoxon rank sum test , Fisher 's exact test , chi-square test , analysis of variance for statistical analysis . Result , the mortality rate was 23.5% , 39.2% plant survival and severe disability ; the cerebral hemorrhage state of consciousness grading mortality Ⅰ ~ Ⅲ grade : 0; and grade Ⅳ : 9.76% ; in Ⅴ Grade : 80% . Patients on admission , systolic blood pressure, and grading the state of consciousness , pupillary changes , hernia , GCS score level , the amount of bleeding , the site of bleeding , acute obstructive hydrocephalus , midline shift , brain and around the pool change rebleeding factors such as small bone window method treatment of hypertensive cerebral hemorrhage prognosis . With age, sex , history of hypertension , admission diastolic blood pressure , breaking into the ventricle , from onset to surgery (7 hours , 7 hours or more ) and other factors unrelated . Conclusion small bone window surgical treatment of hypertensive intracerebral hemorrhage safe and effective ; due to small bone window craniotomy design built in the preoperative lesions precise spatial positioning based on the most appropriate surgical approach , the most suitable craniotomy size hematoma evacuation , so early surgery can not only reduce the surgical trauma , reduce blood loss , it also enabled after evacuation of hematoma decompression satisfaction . Surgery patients suitable state of consciousness grade Ⅰ ~~ Ⅳ grade appropriate time and within 24 hours after the bleeding . Prognosis of hypertensive intracerebral hemorrhage related to a variety of factors , grading, admission blood pressure , the state of consciousness and pupillary changes , hernia , GCS score level , the amount of bleeding , the bleeding site , midline shift , acute obstructive hydrocephalus , changes in brain and around the pool , postoperative bleeding and other factors can be used as an important indicator for evaluation of small bone window treatment of hypertensive patients with cerebral hemorrhage prognosis .
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