微创治疗高血压脑出血的手术时机探讨

Optimal Time Window of Minimally Invasive Operation for Hypertensive Cerebral Hemorrhage

目的探讨脑出血微创颅内血肿抽吸引流治疗的最佳时机。方法86例脑出血患者按手术时期分超早期组和早期组,其中超早期组47例,早期组37例,均行脑出血血肿钻孔引流术。结果超早期手术组患者,死亡率为19.14%,早期手术组为30.76%,两组比较差异具有显著性(P<0.01)。随访:超早期手术组30例中生活自理的的有24例,占80%;早期手术组20例中生活自理的的12例,占60%,两组比较差异具有显著性(P<0.01)。结论有手术适应证的脑出血患者,应尽可能在6h内行超早期颅内血肿钻孔抽吸引流术。

Objective To investigate the optimal time window for minimally invasive aspiration and drainage of the hermatoma in patients with intracerebral hemorrhage. Methods Eightysix patients with intracerebral hemorrhage were divided into two groups, ultra- early stage group （47 cases） and early stage group （37 cases ）, in terms of the operation time window. The drilling and aspiration of hematoma were used in the both groups. Results The death rate was 19.14% and 30.76 % in the ultra - early stage group and the early stage group respectively. There was remarkable differences between the two groups （ P〈0.01 ）. Following- up showed that the cases with viability account for 80% （24/30） in the ultra early stage group and 60% （12/20） in the early stage group. There was obvious differences between the two groups （ P〈0.01 ）. Conclu. sions The aspiration and drainage of hematoma should be done as early as possible （within 6 hours） to the patients fit for surgery.