摘要
在我国,高血压脑出血的发病率、致残致死率均较高,目前还缺乏明确有效的治疗方法。早期手术治疗可能也是有效的。多数学者较共同的观点是对出血量较大的或有脑疝倾向的或经内科治疗短期病情继续恶化的幕上出血以及>10mL以上的小脑出血要积极手术治疗。随着科技的发展,手术方法多种多样,各有其优缺点;但目前更多的学者喜欢使用对脑组织损伤小的微侵袭治疗,也取得一定的效果。高血压脑出血的治疗现在仍然存在很多没有明确的问题,如外科治疗是否有优势、手术时机的选择等。
Now hypertensive cerebral hemorrhage has high rate of incidence,disability and mortality in China, which lacks the effective therapy. Early operation may be effective. The majority opinion is that the operation is necessary in patients with biggish hemorrhage volume,trend of brain hernia, hemorrhage above cerebella curtain with continuous deteriorative condition after medical treatment and cerebella hemorrhage above 10ml needing operation.With the development of technology, there are many operating method, which have their own advantages and disadvantages.Now more and more neurosurgeon prefer to micro-invasive operation, which achieve some efficacy.There are still many unclear issue in the treatment of hypertensive cerebral hemorrhage about sugical therapy in its advantages,selection of surgical opportunity.
出处
《医学综述》
2007年第4期288-290,共3页
Medical Recapitulate
关键词
高血压脑出血
手术方法
手术时机
Hypertnesive cerebral hemorrhage
Operating method
Surgical opportunity
