高血压脑出血脑疝病人锥孔引流后再常规手术疗效的评价

Studying to Operation Effect of Hyprtensive Cerebral Hemorrhage Patients who were First Drainaged Before Ordinary Operation

目的评价高血压脑出血脑疝病人锥孔引流后再常规手术的疗效及可行性。方法观察组为2003年4月—2005年4月,入院时已出现脑疝的高血压脑出血病人14例,在CT定位下,床旁直接锥孔置管入血肿腔引流,缓解高颅压症状,尔后行常规小骨窗开颅清除残余血肿;对照组为2001年4月—2003年3月收治的有脑疝的高血压脑出血13例,行常规小骨窗开颅清除血肿。结果观察组ADL平均得分为64.78±25.24,死亡1例,死亡率为7.14%;对照组ADL平均得分为42.65±21.14,死亡3例,死亡率为23.08%。结论高血压脑出血脑疝病人床边锥孔引流后再常规手术,可明显降低死亡率、致残率。

Objective To explore poeration effect of hypertensive cerebral hemorrhage patients who first Drainaged before Ordinary opration. Methods All hypertensive cerebral hemorrhage patients were divded into two groups, one was treatment group, they were Brrain hernia, and first Drainaged before Ordinary operation from April. 2003 to April. 2005. The other were control group, they were directly operated after amitted to hospital fro April. 2001 to April,2003. Results The ADP score of treatment group were 64.78 ± 25.24,one was dead,the death rate was 7.14% ,The ADL score of control group were 42.65 ± 21.14,three were dead,the death rate was 23.08 %. Conclusion The death rate and disble were lower of the patients who were firsi Drainaged before Ordinary operation than that of the control group.