Shuaib A, Hunter K M, Anderson M A
Department of Clinical Neurosciences, Foothills Hospital.
Can J Neurol Sci. 1989 Aug;16(3):345-7. doi: 10.1017/s0317167100029206.
Intra-cerebral hemorrhage is an unusual and often fatal complication of endarterectomy (CEA). Previous cerebral infarction, intra-operative or post operative hypertension, and the use of anti-coagulants are some of the defined major risk factors. Hemorrhage usually occurs early after CEA, and a second hemorrhage has only once been reported. We wish to report a patient who developed three separate hemorrhages following CEA. This patient had a long history of poorly controlled hypertension. We believe that poorly controlled hypertension, in addition to other reported factors, may be an important separate risk factor for post-CEA hemorrhage.
脑出血是颈动脉内膜切除术（CEA）一种罕见且常致命的并发症。既往脑梗死、术中和术后高血压以及使用抗凝剂是已明确的一些主要危险因素。出血通常发生在CEA术后早期，二次出血仅有一次报道。我们希望报告一例在CEA术后发生三次独立出血的患者。该患者有长期高血压控制不佳的病史。我们认为，除其他已报道的因素外，高血压控制不佳可能是CEA术后出血的一个重要独立危险因素。
