高血压性脑出血内外科治疗(附310例报告)

Non-surgical and surgical treatment for hypertensive intracerebral hemorrhage:Reports of 310 cases

目的 :总结高血压性脑出血的内外科治疗方法和疗效。方法 :对 310例高血压性脑出血患者的临床资料进行分析。结果 :生活自理 10 3例 ( 33.3% ) ,生活部分自理 94例 ( 30 .3% ) ,重残 6 4例 ( 2 0 .6 % ) ,植物生存 12例 ( 3.9% ) ,死亡 37例 ( 11.9% ) ;意识分级 3级或血肿量 >30 ml外科疗效优于内科 ,丘脑出血外科病死率高于内科。结论 :严格把握手术适应征 ,早期 ,超早期手术治疗 ,综合治疗 。

Objective:To study the treatment and outcome of non surgical and surgical treatment for hypertensive intracerebral hemorrhage(HICH) Methods:From 1998 to 2001,310 patients with HICH treated in our hospital were analysed Results:Of 310 patients,103(33 3%) were self management,94(30 3%) were partial self management,64(20 6%) were severe disable,12(3 9%) were persistance vegetative survival,and 37 died (11 9%) For patients of grade Ⅲ(consciousness) or hematoma>30ml,effect of surgical were better than that of non surgical mortality of surgery were higher than that of non surgical in thalamic hemorrhage Conclusion:Strict surgical indication,early and super early operation,general treatment and treatment of complication ware effective means to decrease mortality and disable rate