Research progress in surgical treatment of hypertensive intracerebral hemorrhage
Hypertension is one of the most common factors leading to intracerebral hemorrhage.At the same time,patients with hypertension is accompanied by small arterial lesions in the brain.The most common type of hypertension is combined with arteriosclerosis,and the influence of multiple factors can lead to a sudden increase in blood pressure,ultimately causing arterial rupture and bleeding,also known as hypertensive intracerebral hemorrhage.A one-time bleeding,it will basically stop within 30 minutes,and the fatal bleeding can directly lead to the death of the patient.In recent years,through dynamic CT observation research,it has been shown that more than 80%of patients with intracerebral hemorrhage still have an increase in hematoma within 6 hours of onset,while more than 15%of patients have an increase in hematoma within 6-24 hours,and only a very small number of patients still have an increase in hematoma after 2 days.In addition,the probability of continued bleeding after onset of hypertensive intracerebral hemorrhage is basically more than 50%,and the probability of bleeding within 1 day is 60%.At same time,it is also found that blood pressure and age are not the reasons for continued bleeding,but irregular hematoma or large bleeding volume can lead to continued bleeding.Therefore,in order to reduce the harm of hypertensive intracerebral hemorrhage and enhance the effectiveness of surgical treatment,this article mainly reviews the research progress of surgical treatment for hypertensive intracerebral hemorrhage,in order to provide assistance for the clinical treatment of hypertensive intracerebral hemorrhage.