摘要
报告了１９８６年６月至１９９６年１０月用ＣＴ引导立体定向血肿清除术治疗１５１例高血压脑出血的结果和经验。男１０５例，女４６例；年龄３７￣９０岁，７０岁以上者１４例，意识３￣５分者６８例，血肿体积大于１００ｍｌ者３５例；血肿破入脑室者３３例，治疗结果：术后一月内良好率及轻残率分别为２５．２％和２９．８％，手术死亡率为９．２７％，术后并发症发生率为１５．２％，其中术后再出血６例（４％）。
The results and experience of 151 patients with hypertensive intracerebralhematoma treated by stereotactic evacuation between 1986 and 1996 were reported in this paper.There were 105 males and 46 females. Their ages ranged from 37 to 90 years (with the average of57 years), and over 70 years in 14 cases. Glasgow Score 3-5 were in 68 cases. The volume ofhematoma was over 100 ml in 35 and intraventricle hematoma in 33. The results showed that therate of excellent and good in one month was 55%, the mortality was 9. 27% and the complicationrate was 15. 2%. 122 patients were followed up for 2 months to 10 years: excellent in 48 cases(39. 3%) and good in 34 (27. 9%). The operative technique was introduced and operative deathfactors were analyzed in deitails. The results suggested that stereotactic evacuation can decreasethe mortality and morbidity remarmably, so it is an effective method for hypertensive intracerebralhematoma; the aged, large himatoma volume and rebleeding after operation are still the main fac-tors of operative death. Effective provention and treatment of operative complications can decreasethe mortality.
出处
《海军总医院学报》
1997年第2期87-92,共6页
Journal of Naval General Hospital of PLA
关键词
高血压性脑出血
血肿清除术
立体定向
Hypertensive intracerebral hematoma Hematoma evacuation Stereotactictechnique
