中重型出血性脑卒中的外科治疗

Surgical Treatment of Intermediary and Serious Cerebral Hemorrhagical Stroke

目的探讨中重型出血性脑卒中的外科治疗方法。方法根据55例患者脑出血部位及病情轻重,分别选用小骨窗开颅血肿清除术、脑室穿刺引流术、大骨瓣开颅减压血肿清除术三种术式。对比三种术式术后死亡率,伤残率。结果大骨瓣开颅减压血肿清除术术后预后最差。结论正确选择外科治疗时机、病材及科学合理的术后处理明显改善出血性脑卒中患者的治疗效果。

Objective To study surgical teatment of intermediary and serious cerebral hemorrhagical stroke. Methods According to the position of hemorrhage and the degree of disease, 55 patients were treated with small bone window eyacuation of intracerebral hematoms, ventriculai puncture and drainage,big bone petal eyacuation of intracerebral hematoms. Results the prognosis of big bone petal eyacuation of intracerebral hematoms was the worst, by contrast of dead - ratio and disabled - ratio. Conclusion The correct choice of the time of operation, patients and the best postoperative treatment was very important in the treatment of intermediary and serious cerebral hemorrhagical stroke.