摘要
目的:总结高血压脑出血幕上血肿手术治疗的经验及疗效。方法:52例患者分别采用骨瓣开颅、小骨窗开颅血肿清除术、微创穿刺血肿引流术及脑室外引流术4种手术方法,清除血肿,解除脑受压,缓解高颅压,促进神经功能的恢复。结果:死亡8例,存活44例,其中植物生存2例,生活完全或部分自理37例,完全护理依赖5例。结论:手术治疗高血压脑出血幕上血肿是提高存活率和生存质量的有效方法。
Objective： To summarize the experience and effect of surgical treatment of hypertensive intraeerebral supratentorial hematomas. Methods： 52 patients were treated respectively with craniotomy, small bone window craniotomy, mini-invasive drainage, or external ventricular drainage to remove the supratentorial hematoma, decompress the brain, alleviate the mtracranial hypertension, and facilitate the neurological functional recover3 Results： 8 patients died and the other 44 cases were alive. Of the 44 cases alive. 2 were in persistent vegetative state. Activities of daily Living was completely or partially normal in 37 patients, and 5 were completely nursing dependent, Conclusion：Surgical treatment of hypertensive intracerebral supratentorial hematoma is an effective method to improve the survival rate and life quality.
出处
《中国医药导刊》
2011年第8期1319-1320,共2页
Chinese Journal of Medicinal Guide
关键词
高血压
脑出血
幕上血肿
颅脑手术
Hypertention
Intracerebral hemorrhage
Supratentorial hematomas
Craniotomy
