摘要
目的探讨高血压脑出血患者选择不同的手术方式对临床效果的影响。方法回顾性总结了近几年来62例高血压脑出血手术治疗病例,根据病情的严重程度、出血部位、出血量及发病至就诊的时间选择不同的手术方式,其中行去骨瓣减压+血肿清除术29例,锥颅血肿腔置管10例,双侧脑室置管14例,血肿腔+脑室置管引流9例。结果随访三个月,死亡10例,存活52例,其中植物生存2例,重残14例,中残20例,良好16例。结论对高血压脑出血患者采用个体化的手术方式能减少死亡率和病残率。
Aim To study the clinical effect of patients with hypertensive cerebral hemorrhage choosing different surgical methods.Methods Sixty-two patients with hypertensive cerebral hemorrhage were treated by hematoma puncture and aspiration,craniotomy accompanied by cranioplasty and putting tube into hematoma cavity and ventricle.Results During three months of follow-up,ten patients died and forty-two patients survived.Of survival patients,two patients presented plant survival status,thirty-four patients moderately or severely disabled,while sixteen patients recovered.Conclusions Individualized surgical methods can reduce the mortality and morbidity in the patients with hypertensive cerebral hemorrhage.
出处
《安徽医药》
CAS
2011年第1期53-54,共2页
Anhui Medical and Pharmaceutical Journal
关键词
高血压脑出血
手术治疗
hypertensive cerebral hemorrhage
surgical treatment
