摘要
目的 分析和探讨高血压脑出血用尿激酶溶凝引流治疗的效果。方法 回顾性总结本院 1999年2月~ 2 0 0 3年 5月 118例高血压脑出血 ,出血量 30ml~ 80ml患者的治疗效果。并对经颅锥孔置管用尿激酶溶凝引流治疗结果进行分析。结果 118例患者术后 2 4h内死亡 12例。术后第 3天复查CT血肿基本完全引流者 32例 ,残留 1/ 3者 4 0例 ,引流不足 1/ 2者 34例。术后 1周血肿基本完全引流者 86例。出院时按GOS评分统计 ,恢复良好者 4 2例 ,轻残 2 0例 ,重残 18例 ,死亡 38例。死亡率 32 .2 % ,致残率 32 .2 % ,恢复良好率 35 .6 %。平均住院时间 2 2天。结论 锥颅置管引流是治疗高血压脑出血的一种简单易行、创伤小且不受年龄和合并症限制的有效方法 ,适应基层医院。其预后及生存质量较其它治疗方法满意。
Objective To discuss the effects of Burr hole intubation urokinase drainage for treating hypertensive cerebral hemorrhage. Methods 118 hypertensive cerebral hemorrhage patients who admitted to our hospital from Feb. 1999 to May 2003 were summarized restrospectively. The hematoma volume of the patients were between 30ml~80 ml. The effects of Burr hole intubation urokinase drainage was analyzed. Results 12 patients died within 24h after operation among 118 cases. On 3th postoperative day by repeat CT scan,the hematoma was evacuated almostly in 32cases, 1/3 of the hematoma was left in 40 cases, fewer than 1/2 of the hematoma was drained in 34 cases. Evacuation of the hematoma was 86 cases on 7th postoperative day. When discharged from the hospital according to GOS, 42 cases had a good recovery, 20 cases had a mild disability, 18 cases had severe deficits, 38 cases died. The morbidity was 32.2%, the disability rate is 32.2%,good recovery rate is 35.6 %.The mean post-operative hospitalization was 22 days. Conclusion Burr hole intubation urokinase drainage is a safe, simple and effective treatment for hypertensive cerebral hemorrhage, not limited by age and complications. It was suitable for basic level hospital. The prognosis and life quality of this method was more excellent than the other method.
出处
《医药论坛杂志》
2004年第13期23-24,27,共3页
Journal of Medical Forum
关键词
高血压脑出血
锥颅置管
尿激酶溶凝
Hypertensive cerebral hemorrhage
Burr hole intubation
Urokinase drainage