摘要
目的探讨应用显微外科手术治疗高血压脑出血的临床效果。方法对2006年1月～2008年1月经显微外科手术治疗的高血压脑出血的76例患者进行回顾性分析，并总结相关经验。结果本组血肿清除量为血肿量的90％以上52例，80％以上16例，70％以上5例，60％以上3例；术后发生再出血7例，肺部感染21例，消化道出血19例，死亡6例；死于术后再出血3例，严重并发症2例，继发脑梗死1例；ADL评价：Ⅰ级17例，Ⅱ级30例，Ⅲ级16例，Ⅳ级5例，Ⅴ级2例。结论应用显微外科手术治疗高血压脑出血疗效显著，病残率低，是一种比较有效的治疗方法。
Objective To discuss the clinical effect of microsurgical treatment for hypertensive cerebral hemorrhage. Methods The 76 cases with hypertensive cerebral hemorrhage who underwent microsurgical treatment were analyzed retrospectively from January 2006 to January 2008. Results The hematoncus removing volume were above 90% in 52 cases, above 80% in 16 cases, above 70% in 5 cases and above 60% in 3 cases. After operations, there were 7 cases with rehaemorrhagia, 21 cases with pulmonary infection, 19 cases with alimentary tract hemorrhage and 6 cases dead. The causes of death were rehaemorrhagia in 3 cases, severious complication in 2 cases and cerebral infarc%ion in 1 case. In the evaluation of ADL, there were Ⅰ grade in 17 cases, Ⅱ grade in 30 cases, Ⅲ grade in 16 case and so on. Conclusion The clinical effect of microsurgical treatment for hypertensive cerebral hemorrhage is obvious, the rate of invalidity is low, so it is an effective mothed.
出处
《国际医药卫生导报》
2008年第12期19-21,共3页
International Medicine and Health Guidance News
关键词
高血压脑出血
显微外科手术
Hypertensive cerebral hemorrhage Microsurgery
