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目的:分析脑梗塞溶栓治疗后继发脑出血的临床方法。方法:以42例脑梗塞溶栓治疗后继发脑出血患者为研究对象,将患者随机平均分为观察组和对照组,对照组患者接受细孔钻颅血肿引流治疗,观察组患者接受小骨窗血肿清除术治疗,对比两种方法的效果。结果:观察组平均手术时间为(54.58±5.64)min,平均术后恢复时间(4.9±1.3)d,术后并发症几率为9.52%,对照组平均手术时间为(80.58±6.77)min,平均术后恢复时间(8.5±1.9)d,术后并发症几率为38.09%,观察组的平均手术时间、平均术后恢复时间和并发症几率与对照组的差异显著,差异有统计学意义(P<0.05)。结论:小骨窗血肿清除术的手术时间短,患者恢复时间快,术后并发症低,患者预后质量高,可用于治疗脑梗塞溶栓治疗后继发脑出血。
Objective: To analyze the clinical methods of secondary cerebral hemorrhage after thrombolytic therapy of cerebral infarction. Methods: Forty-two patients with cerebral hemorrhage secondary to thrombolysis after cerebral infarction were randomly divided into observation group and control group randomly. Patients in control group received drainage of small hole drilling hematoma, and patients in observation group received small-bone window hematoma Clearance treatment, the effectiveness of the two methods. Results: The mean operative time was (54.58 ± 5.64) min in the observation group, the average postoperative recovery time was 4.9 ± 1.3 days, the postoperative complication rate was 9.52% and the mean operative time in the control group was (80.58 ± 6.77) min, The postoperative recovery time was (8.5 ± 1.9) d, the incidence of postoperative complications was 38.09%. There was significant difference between the observation group and the control group in the average operation time, the mean postoperative recovery time and the complication rate (P <0.05). Conclusion: The operation time of small bone window hematoma removal is short, the recovery time of patients is fast, the postoperative complications are low and the quality of prognosis of patients is high. It can be used to treat secondary cerebral hemorrhage after thrombolytic therapy of cerebral infarction.