摘要
目的 提高高血压脑出血病人的手术治愈率 ,降低死亡率。 方法 回顾性分析了 176例高血压脑出血病人的手术治疗 ,将其分为早期 (6h以内 )、中期 (6～ 12h)和晚期 (12h以后 )手术 ,分别分析其疗效。 结果 早期手术 6 4例痊愈 4 8例 ,死亡 6例 ,重残 12例 ;中期手术 89例 ,痊愈 4 3例 ,死亡 7例 ,重残 31例 ,植物生存 4例 ;继发性脑积水再次手术分流 4例。晚期手术 2 3例 ,痊愈 6例 ,植物生存 1例 ,重残 16例。 结论 ①伴有出血性疾病 ,恶性高血压和呼吸道梗塞者为手术禁忌症。②幕上血肿 >2 0ml无手术禁忌症者均可行手术治疗。③强调早期手术。
Objective It was our objective to increase rate of recovery and to decrease rate of death in patient with hypertensive cerebral hemorrhage.Methods Effect of treatment were analysed retrospectively in this article that 176 cases of patients with hypertensive cerebral hemorrhage were operated on the early stage, middle stage and late stage respectively.Results 64 cases were operated on the early stage, cured 48 cases, disabled 12 cases and death 6 cases.89 cases of patients received operation on the middle stage, cured 43 cases, disabled 31 cases, vegetive condition 4 cases, CSF-Shunt was made in 4 cases due to secondary hydrocephalus 23 cases on the late stage operation, cured 6 cases, disabled 16 cases, vegetative 1 case.Conclusion ①these patients with hemorrhagic progressive hypertension and respiratory tract obstruction should be prohibited from operation.② Supratentorial hemotoma more than 20 ml may discharged by operative therapy if without contraindications. ③ Early stage operation was emphased on this patients.
出处
《医药论坛杂志》
2003年第17期9-11,共3页
Journal of Medical Forum
