Objective To explore the influence of operative opporunity choice in hypertensive cerebral hemorrhage. Methods 156 patients suffered from hypertensive cerebral hemorrhage were employed for this study; those patients were divided into 3 groups, according to the different operation arranged time (the exceed-early group, the early group, and lingering group); the postoperative curative effects were compared and analyzed. Results After surgery, the risk of rehaemorrhagia in lingering group was the minimum, the early group the second, the exceed-early group the third (P < 0.05); however, the curative effect in exceed-early group worked best of all (P < 0.05). Conclusion The risk of rehaemorrhagia decreases gradually as the delay of time; the curative effect increases as the brief of operation arranged; in the clinical practical work, surgeon should modestly perfrotn operation as soon as possible, which is the key of improving recovery and mission success rate.%目的 探讨不同手术时机的选择对高血压脑出血患者术后疗效的影响,以提高高血压脑出血患者的生存质量,减少病死率.方法 回顾性分析156例高血压脑出血患者的临床资料,按照发病到开始手术的时间分为超早期组、早期组、延迟组,对比分析各组间的术后临床疗效.结果 高血压脑出血术后再出血风险延迟组最低,早期组次之,超早期组最高(P＜0.05)；但超早期组患者的术后预后评分明显高于早期组及延迟组(P＜0.05).结论 高血压病脑出血术后再出血风险随着发病到开始手术的时间的延长而减少,治疗疗效随发病到开始手术的时间的延长而减少;在临床实际工作中,应当对有手术指征的患者尽早行合理而缜密的手术治疗是提高治愈率和抢救成功率的关键.
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