超早期血肿抽吸术加冰盐水治疗脑出血的研究

Study of preterearly-pump through skull with ice salt water in cerebral hemorrhage patients

目的 探讨超早期锥骨穿刺血肿抽吸加冰盐水循环灌洗治疗老年危重型高血压性脑出血的疗效。方法 通过CT定位穿刺血肿抽吸术加冰盐水循环灌洗治疗老年危重型高血压性脑出血患者 6 6例 ,超早期抽吸 31例 ,早期抽吸 35例 ;格拉斯哥昏迷量表 (GCS)评分 3～ 6分。结果 6 6例患者中存活 31例 ,其中日常生活能力评断 (ADL)良好 3例 (全部是超早期 ) ,植物生存 1例为早期手术者 ,死亡 35例 (超早期 12例 ,早期 2 3例 )。

Objective To detect the effect of preterearly puncture and pump through skull and cycle lavage with ice salt water in riskful hypertensive cerebral hemorrhage elder patients.Methods 66 cases of riskful hypertensive cerebral hemorrhage elder patients were treated with early puncture and pump through skull with the help of CT and cycle lavage with ice salt water.31 cases were taken preterearly puncture and 35 taken early puncture.According to GCS from 3 to 6.Results 31 cases of 66 were lived,including 3 with ADL better,all of them were taken preterearly treading.1 with non sense who was taken early treading.35 were died,12 of took preterearly treading and 23 with early treading.Conclusion The effect of preterearly puncture and pump through skull and cycle lavage with ice salt water in riskful hypertensive cerebral hemorrhage elder patients is better than early puncture.Preterearly puncture and pump through skull can reduce pressure earlier,thus reduce death rates and improve living quality of these patients.