关键词: 钻孔引流术, 并发症, 高血压脑出血

Abstract: Objective To analyze the causes and related factors of complications after operation of hypertensive intracerebral hemorrhage. Methods This was a retrospective analysis of 242 patients with hypertensive intracerebral hemorrhage who received minimally invasive burr-holecraniostomy and closed-system drainage （BCD） from August 2015 to September 2018. The efficacy， accuracy of catheter placement and the causes of complications such as catheter-related bleeding and infection were analyzed. Results Of the 242 patients， 114 had complications （47.1%）. Among 16 patients with rebleeding and requiring intervention， 7 cases were treated with re-catheterization， 9 cases were treated with conservative medical treatment， and 3 cases died. The cause of rebleeding was associated with the use of aspirin and anticoagulants， but not with age， sex， emergency operation and Kakarla classification. There were 8 cases of catheter-drainage infection in this group， 6 of which caused focal intracerebral abscess， and the other 2 cases were scalp redness and abscess caused by pericatheter infection， which were cured after dressing change and anti-infection.Among all the patients， 28 were completely recovered， 175 were significantly improved and 16 were not improved. According to ADL classification， there were 147 cases Ⅰ~Ⅱ， 67 cases Ⅲ~Ⅳ， and 5 cases Ⅴ， and 11 cases died during admission and 12 cases died during follow-up to 6 months. Conclusion Patients with hypertensive intracerebral hemorrhage have a high incidence of complications after cranial trepanation and drainage. Rehaemorrhage and infection are important risk factors to be dealt with.

Key words: hypertensive intracerebral haemorrhage, complications, Burr-hole craniostomy and drainage