中文摘要：

目的探讨高血压脑出血合并二次脑损伤对患者预后的影响。方法对308例高血压脑出血患者行外科治疗,术后对影响二次脑损伤的多项指标进行监测,并进行统计学分析。结果手术时机、血肿部位、血肿体积及二次脑损伤因素对患者的预后在统计学上有显著性差异,而不同术式对患者的预后无明显影响。结论二次脑损伤因素的异常改变,可造成第二次脑损害,影响患者的预后。

英文摘要：

Objective To study the prognosis index of the patients with hypertensive intracerebral hemorrhage（HICH） associated with secondary brain insults.Methods A total of 308 cases with HICH were treated by neurosurgical intervention.Postoperative monitoring of factors affecting the secondary brain insults was performed and the indices were statistically analyzed.Results There was significant difference in the effect of factors,including operation time,location and volume of hematoma,and secondary brain insults indices,on the prognosis of patients.But surgical style had no obvious effect on prognosis.Conclusion Abnormal secondary brain insults indices further deteriorate the brain damage and can lead to poor pr ognosis of patients.