高血压脑出血的治疗

Treatment of Hypertension-Induced Intracerebral Hemorrhage

报告我院连续20个月收治的高血压脑出血856例,死亡132例(15.42％)。其中开颅血肿清除者100例死亡34例(34％),对影响开颅血肿清除手术治疗效果的因素进行分析。结果:超早期手术病死率18.75％明显低于8～24小时手术病死率(41.86％);皮层下血肿手术病死率5.26％比丘脑血肿(53.85％)低;意识障碍越重,预后越差;必要时去骨瓣减压,持续脑室外引流对改善预后有益。本文还简述了高血压脑出血的治疗原则。

856 cases of hypertension-induced intracerebral hemorrhage were reviewed. The total mortality was 15. 42%. One hundred of them were treated by removing the clot surgically. The mortality in patients treated surgically within 7 hours after the onset was significantly lower (18.75%) than patients treated in 8~24 hours (41.86%). The mortality of surgery was lower for subcortical hematoma (5.26%) than thalamus hematoma(53. 85%). The principles of management for hypertension-induced intracerebral hemorrhage were discussed.