摘要
目的:探讨外科手术治疗高血压性脑出血的疗效。方法:报告47例高血压性脑出血,21例予以血肿穿刺吸除术治疗,26例予以骨瓣开颅血肿清除术治疗,观察两者疗效。结果:应用血肿穿刺吸除术治疗的21例患者,术后按日常生活能力ADL分级法,Ⅰ级3例。Ⅱ级4例,Ⅲ级4例,Ⅳ级3例,Ⅴ级3例;死亡4例。采用骨瓣开颅血肿清除术开颅清除血肿的26例患者,术后按日常生活能力ADL分级法,术后功能恢复为Ⅰ级2例,Ⅱ级4例,Ⅲ级6例,Ⅳ级5例,Ⅴ级4例;死亡5例。结论:早期进行手术治疗,根据病情选择血肿穿刺吸除术或常规骨瓣开颅血肿清除术,加强防治术后并发症是降低高血压性脑出血死亡率,提高治愈率及生存质量的关键。
Objective： To expIor the effect of operative treatment of hypertensive intracerebral hemorrhage. Methods： Forty-seven cases of hypertensive intracerebral hemorrhage were reported. Craniopuncture was adopted in 21 cases, traditional craniotomy was adopted in 26 cases. Results： 4 cases died, according to A DL grade system： Ⅰ 3 cases, Ⅱ4 eases, Ⅲ 4 cases, Ⅳ 3 cases,Ⅴ 3 cases in all 21 cases. 5 cases died,according to ADL grade system： Ⅰ2 cases, Ⅱ4 cases, Ⅲ 6 cases,Ⅳ 5 cases,Ⅴ4 cases in all 26 cases. Conclusion： To increase the cure rate and life quality, and obtain a lower mortality, it is a key to do surgical operation such as Craniopuncture or traditional craniotomy.
出处
《中国医药导刊》
2007年第4期282-283,共2页
Chinese Journal of Medicinal Guide
关键词
高血压
脑出血
外科治疗
临床分析
Hypertension
Intracerebral hemorrhage
Surgery
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