简易定向锥颅脑内血肿碎吸术及其因型综合施治高血压脑出血

Determination of treatment based on the differentiation of types of hypertensive intracerebral hemorrhage mainly by simple and easy stereotactic fragmenting aspiration

本文以简易定向锥颅脑内血肿碎吸术(简称“碎吸术”)为主的因型施治方案治疗了1157例高血压脑出血病人。本资料对1157例病人未进行选择,根据病人的不同临床分期,出血部位及量、年龄、有无合并症等实际情况,治疗方法选择一种或一种以上综合。在1157例中,临床分期为Ⅲ～Ⅴ期的病人占74.4%;年龄>60岁者占33.9%,破入脑室者占20.2%。治疗结果:死亡率为22.5%。本文介绍了这一新的治疗方法和方案的设计,并从死亡率、手术适应症及再出血等方面,结合有关文献进行了讨论。

1157 cases of hypertensive intracerebral hemorrhage were managed based on a programme of“determination of treatment based on the differentiation of types of hypertensive intracerebral hemorrhage”in this article.1157 consecutive cases,according to their neurological grading,location and quantity of hemorrhage,age,complications,were treated by one or more comprehensive methods.Of the 1157 cases, patients with neurological grading Ⅲ～Ⅴ account for 74.4%,with age 60 and over,33.9%,and with hemorrhage perforated into ventricles, 20.2%.The results showed a total mortality of 22.5%.This article introduced the indication of operation and rebleeding in our programme with the literature.