摘要
目的 初步探讨应用微创置管吸引术救治重型高血压脑出血的临床效果及意义。方法 通过对 16 9例重型高血压脑出血 ,随机分成内科、微创组 ;每组根据GCS评分又分重、较重、严重 3种级别。微创组 83例 ,采用微创置管吸引术方法救治。比较内科治疗组 (86例 )与微创组治疗的近期 (1个月 )和远期随访 (6个月 )结果。结果 在重、较重型高血压脑出血救治方面 ,微创组中的近期优良率 (5 0 % )和远期良好率 (42 5 % )高于内科组的近期优良率 (2 6 3% )和远期良好率 (10 1% ) ;而在死亡率方面 ,微创组 (31 5 % )明显低于内科组 (6 5 8% )。结论 微创置管吸引术较内科治疗能显著改善重、较重型高血压脑出血病人的生命预后 ,并降低了高血压脑出血病人的残死率。
Objective To investigate the clinical results and significance of aspirating serious hypertensive intracerebral hematoma by a soft tube inserted by minial invasive technigue.Methods 169 patients with serious hypertensive intracerebral hematoma were divided randomly into two groups:medical treatment(86 patients) and minimal invasive surgery(83 patients),the patients were further divided into mild modarate and severe subgroups according to GCS scores.All in minimal invasive surgery group had aspirations by one or more minimal invasive stereotactically installed soft-tubes.The final treatment results of two groups in short term(one month) and long term(six months) were analyzed.Results The prognosis of minimal invasive group in short term(50%) and long term(42 5%) was better than medically treated group in sort term(26 3%) and long term(10 1%) The mortality of minimal invasive group(31 5)% significantly lower than that of medical groups(65 8)%.Conclusion The prognosis of aspiration of serious hypertensive intracerebral hematoma by a soft tube inserted by mininal invasive technique was better than medical treatment,and the mortality was also lower.
出处
《中华急诊医学杂志》
CAS
CSCD
2002年第5期295-297,共3页
Chinese Journal of Emergency Medicine
基金
辽宁省教委科研项目 (980 412 110 6)
