Study on the Correlation of Secondary Brain Insult with Brain Tissue Oxygen and Prognosis in Postoperative Patients with Hypertensive Intracerebral Hemorrhage_West China Medical Journal

Authors：

 SONGTong-jun , WEIJian-gong , LIUYu-hao , LIUDao-bin , WANGShi-qiang

Department of Neurosurgery, Shenzhen Shajing Affiliated Hospital of Guangzhou Medical University, Shenzhen, Guangdong 518104, P. R. China;

Corresponding author：

Keywords：

Intracerebral hemorrhage; Secondary brain insult; Brain tissue oxygen; Prognosis

DOI：

10.7507/1002-0179.20150008

Video：

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Objective To study the brain tissue oxygen and prognosis index of the postoperative patients with hypertensive intracerebral hemorrhage (HICH) associated with secondary brain insults. Methods A total of 120 patients with HICH from January 2006 to June 2013 were treated by neurosurgical intervention. Postoperative monitoring of factors affecting the secondary brain insults in the 120 patients and of brain tissue oxygen in 10 patients was performed and statistically analysis was carried out. Results Secondary brain insults had a significant influence on the prognosis of postoperative patients with hypertensive intracerebral hemorrhage, and was correlated with brain tissue oxygen metabolism. Conclusion Abnormal secondary brain insults affect brain tissue oxygen metabolism, which may further deteriorate the brain damage and can lead to poor prognosis.

Citation： SONGTong-jun, WEIJian-gong, LIUYu-hao, LIUDao-bin, WANGShi-qiang. Study on the Correlation of Secondary Brain Insult with Brain Tissue Oxygen and Prognosis in Postoperative Patients with Hypertensive Intracerebral Hemorrhage. West China Medical Journal, 2015, 30(1): 35-37. doi: 10.7507/1002-0179.20150008 Copy

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1. Miller JD, Sweet RC, Narayan R, et al. Early insults to the injured brain[J]. JAMA, 1978, 240(5):439-442.
2. 招康东, 招建华, 林小清, 等.不同颅内减压术和二次脑损伤因素对重型颅脑损伤患者预后的影响[J].广东医学院学报, 2009, 27(4):395-397.
3. 沈益金.导致重型颅脑损伤二次脑损伤的相关因素临床探讨[J].中国现代医生, 2011, 49(1):119-120.
4. 雷昆, 胡浉波, 陈春阳.重型颅脑损伤后二次脑损伤相关因素临床分析[J].当代医学, 2010, 16(26):101-102.
5. 高亮.重型颅脑外伤后二次脑损伤相关因素临床观察[J].中国当代医药, 2010, 17(30):22-23.
6. 郑绍俭, 熊建平, 邱政, 等.重型颅脑损伤后二次脑损伤的临床研究[J].浙江医学, 2010, 32(9):1349-1351.
7. 费舟, 章翔.二次脑损伤[J].中华神经外科疾病研究杂志, 2006, 5(5):471-473.
8. 王文辉, 赵舒平.重症高血压脑出血术后二次脑损伤因素对预后的影响[J].中国煤炭工业医学杂志, 2008, 11(9):1350-1351.
9. 张银清, 陈汉民, 余锦刚, 等.二次脑损伤高危因素与高血压脑出血患者预后关系[J].现代中西医结合杂志, 2004, 13(1):49-50.
10. 梁青松, 章翔, 曾祥富, 等.高血压脑出血继发脑室积血二次脑损伤因素及与预后的关系[J].中华神经外科疾病研究杂志, 2004, 3(2):170-171.
11. 姬西团, 费舟, 章翔, 等.高血压脑出血合并二次脑损伤预后因素分析[J].中华神经外科疾病研究杂志, 2011, 9(3):204-207.
12. 朱建艇, 张捷, 杨崇阳, 等.影响手术治疗高血压脑出血患者预后的因素分析[J].中国临床神经外科杂志, 2011, 16(9):530-532, 535.
13. 麦晓, 欧海荣, 覃木秀, 等.不同体温对高血压脑出血患者预后的影响研究[J].河北医学, 2009, 15(12):1390-1392.
14. 杨帆, 申明峰, 姚宏伟, 等.高血压脑出血开颅患者急性期血压调控及预后的临床观察[J].中国实用医药, 2011, 6(29):19-20.
15. 贾培丰, 徐福林, 王建清.高血压脑出血术后灌注压与预后的关系[J].医学临床研究, 2009, 26(12):2222-2223.
16. Kimura K, Iguchi Y, Inoue T, et al. Hyperglycemia independently increases the risk of early death in acute spontaneous intracerebral hemorrhage[J]. J Neurol Sci, 2007, 255(1/2):90-94.
17. 张筠.高血压脑出血患者血糖增高及预后[J].中国伤残医学, 2012, 20(11):91.
18. 荆俊杰, 王守森, 杨庆武, 等.大鼠二次脑损伤后脑内c-fos基因表达和血浆β-内啡肽的变化及意义[J].中国临床神经外科杂志, 2007, 8(1):34-38.
19. 左治强, 俞燕生.二次致伤因素对颅脑损伤患者预后的影响[J].实用临床医学, 2006, 7(4):67-69.
20. 钟春龙, 江基尧, 罗其中, 等.脑损伤后N-乙酰天冬氨酰谷氨酸肽酶抑制的神经保护[J].中华神经外科杂志, 2009, 25(10):937-940.

West China Medical Journal

Study on the Correlation of Secondary Brain Insult with Brain Tissue Oxygen and Prognosis in Postoperative Patients with Hypertensive Intracerebral Hemorrhage

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