Представлены результаты анализа послеоперационной летальности 38 пациентов 38-86 лет с гипертензивными внутримозговыми кровоизлияниями. Общая послеоперационная летальность составила 87 %. В группе пациентов с супратенториальными кровоизлияниями, исходно находившихся в коме, летальность доходила до 91,3 %о и коррелировала с объемом гематомы. Среди пациентов с субкортикальными гематомомами объемом до 60 см3 и уровнем сознания более 7 баллов по шкале комы Глазго послеоперационная летальность не превышала 33 %о.
Objective. Study objective is to identify statistically significant risks affecting the outcome of the factors of mortality among hypertensive intracerebral hemorrhage. Methods. Presented the results of the analysis of postoperative mortality of 38 patients aged 38-86 with hypertensive intracerebral hemorrhage. Results. The most likely factor in mortality was the hematoma volume, and subsequently the level of consciousness and the degree of dislocation of brain structures. There was no mortality, depending on age. The distribution limit of the average values of the hematoma volume among the dead and survivors - 70 cc, the level of consciousness is 7 on the Glasgow Coma Scale. The volume of the hematoma was not correlated with inhibition of consciousness before surgery. Shown the relationship between the volume of the hematoma and depression of consciousness during the first day after surgery, as well as between consciousness after surgery and outcome of stroke. Conclusions. Overall post-surgery mortality was 87 %; in patients with supratentorial hemorrhages in a coma - 91.3 %, with a hematoma volume of more than 60 cc - 88.9 %, more than 70 cc - 91.6 %. With the volume of subcortical hematoma to 60 cc and level of consciousness more than 7 points postoperative mortality does not exceed 33 %.
The authors declare that there are no conflicts of interest present.