高血压脑出血的超早期微创治疗临床研究

Clinical Study of Hypertension Treatment of Early Micro Trauma

目的:研究高血压脑出血微创治疗的时机。方法:对102例脑出血患者超早期手术与102例非超早期手术患者病历对照分析再出血率、死亡率、神经功能缺损程度变化。结果:术后复查头颅CT初次血肿总清除率69.8%~92.1%;3d内意识明显好转43例,占42.17%,死亡13例,其中5例死于脑疝晚期,3例死于严重肺部感染,2例死于肾功能衰竭,3例死于再出血。再出血率2.9%;非超早期手术组:术后复查头颅CT初次血肿总清除率70.8%~92.1%,死亡20例(19.6%),其中8例死于脑疝晚期,4例死于严重肺部感染,2例死于肾功能衰竭,6例死于再出血。再出血率27例(26.4%)。结论:超早期手术再出血率低,死亡率低,术后神经功能恢复好。

Objective:To study hypertension cerebral hemorrhage micro creates the treatment the opportunity.Methods:For 102 cases cerebral hemorrhage patient ultra early operation and 102 cases non-ultra early operation patient medical record,check on hemorrhage rate,mortality rate,and nerve function damage degree change.Results: postoperative hematomas head CT first check total remoal 92.1%;strang risk factor-Inside the 3d consciousness of 43 cases with improved obviously,42.17%,13 cases of death,5 cases died in late march,cerebral hernia patients died of serious lung infection,2 cases died of acute renal failure,3 patients died.Then hemorrhage 2.9%,The super early surgical: postoperative hematomas head CT first check total remoal 70.8%～ 92.1%,20 cases of death(19.6%),including 8 patients died of cerebral hernia,4 patients died of late serious lung infection,2 cases died of acute renal failure,6 patients died.27 cases again hemorrhage(26.4%).Conclusion:Ultra early operation hemorrhage rate is low,mortality rates is low and postoperative neurological function is recovery.