摘要
目的评价重型脑出血CT定向锥颅碎吸溶解引流术后早期康复的疗效。方法 30例重型脑出血患者 ,在发病后 2小时内进行CT定向锥颅碎吸溶解引流术 ,并对 2 1例术后存活患者进行超早期、早期、非稳定期、相对稳定期 4阶段康复干预。结果死亡 9例 ,存活 2 1例 (70 % )。存活者中 8周后 14例ADL评分≥ 6 2分。运动功能有显著改善。结论该手术可有效降低重型脑出血患者的死亡率 ,早期分阶段康复干预可以显著改善患者肢体运动功能 ,降低残障程度。
Objective To evaluate the therapeutic effect in early rehabilitative treatment of severe cerebral hemorrhage after skull-penetrated breaking, suction, solution, and drainage of hematoma oriented with CT.Methods 30 cases of severe cerebral hemorrhage with skull-penetrated breaking were received treatment by suction, solution and drainage of hematoma 2 hours after onset. 21 survival cases were given rehabilitative treatment of ultra-early phase, early phase. Non-stationary phase, relative stationary phase.Results 9 cases died and 21 survive 8 weeks later. ADL was ≥62 points, and their motor function has improved greatly in 14 cases out of 21 survival cases.Conclusion The therapy can reduce the mortality from severe cerebral hemorrhage. The early phases rehabilitative treatment may obviously improve the motor function of the patients limbs and lower the degree of cripple.
出处
《贵州医药》
CAS
2002年第12期1070-1071,共2页
Guizhou Medical Journal
