摘要
目的探讨高血压脑出血手术治疗的疗效。方法总结386例高血压脑出血患者行大骨瓣开颅,小骨窗开颅血肿清除手术以及锥颅置管尿激酶溶解引流手术治疗资料。结果死亡39例(10·1%),按ADI分级:Ⅰ级106例(27·4%),Ⅱ级136例(35·2%),Ⅲ级50例(13%),Ⅳ级43例(11·1%),Ⅴ级12例(3·2%)。结论早期进行手术治疗,根据病情选择显微手术或锥孔引流手术,加强防治术后并发症是降低高血压脑出血死亡率,提高治愈率及生存质量的关键。
Objective To explore the effect of operative treatment of hypertensive intracerebral hemorrhage. Methods 386 cases with hypertensive intracerebral hemorrhage were retrospectively analysed, hernatoma was removed through big bone flap and small skull window,or drainage and urokinase infusion with small hole puncture. Results 39 cases died（10.1%）,according to AD1 grade system：Ⅰ 106 cases（27.4%）,Ⅱ 136 cases（35.2%）,Ⅲ 50 cases（13%）,Ⅳ43 cases（ 11.1% ）, Ⅴ 12 cases（3.2 % ）. Conclusion To increase the cure rate and life quality, and obtain a lower mortality,it is a key to do surgical operation such as microsurgery or drainage and urokinase infusion.
出处
《中国基层医药》
CAS
2006年第3期437-438,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
高血压
颅内出血
手术治疗
Hypertensive
Intracranial homorrhage
Operative treatment
