高血压性脑出血的外科治疗(附33例分析)

Surgical Treatment of Hypertensive Cereberal Hemorrhage

３３例高血压性脑出血行外科治疗，早期和超早期手术共２０例，死亡３例，死亡率为１５％，而延缓手术１３例，死亡５例，死亡率为３８．５％。我们认为，要提高高血压脑出血的手术疗效，必须严格掌握手术适应证，对有手术适应证的患者尽早实施手术．根据不同的血肿类型，选择不同的手术方法，力求探索简单有效的手术方法。手术后综合治疗，加强护理，积极预防和抢救并发症是降低死亡率和致残率的关键。

Abstract: 33 cases with hypertensive cerebral hemorrhage were treated surgically. Three Of twenty cases which were operated early died, mortality was 15%. Five of thirteen cases that operations were postponed died,mortality was 38.5%. We believe that it is important for improving effectiveness of operations to operate on the patients with hypertensive cerebral hemorrhage with indications for operations in the early stage. It is found that we must choose the simple and effective operation method according to the types of hemorrhage.This study showes that comprehensive treatment after operation,intensive care and prevention and treatment of complications are important for reducing mortality and sequelae.