立体定向超早期血肿定量抽吸术治疗高血压脑出血

TREATMENT OF HYPERTENSIVE ENCEPHALORRHAGIA WITH GT GUIDED STEREOTACTIC ULTRA EARLY QUANTITATIVE ASPIRATION

采用ＣＴ导向立体定向血肿抽吸术治疗高血压脑出血３３２例，结果生存２６４例（７９．５％），死亡６８例（２０．５％），其中超早期血肿组１００例中生存９０例，死亡１０例；早期组１０８例中，生存８６例，死亡２２例；延期组１２４例中，生存８８例，死亡３６例。经统计学处理表明，超早期血肿定量抽吸术后病死率明显低于早期组与延期组，生存质量明显高于延期组。作者认为，ＣＴ导向立体定向血肿抽吸术治疗高血压脑出血，具有操作简便、精确、安全，适合于脑深部及脑干等部位，也适合老年或全身状况差及危重病人的抢救。

CT guided stereotactic aspiration was used to treat hypertensive encephalorrhagia in 332 cases,of which 264 cases survived(79.5%) and 60 died(20.5%).90 cases in the extra early hematoma group of 100 cases were survival,10 died.In 108 cases of the early stage group, 86 cases survived and 22 died.In 124 cases of the dilayed stage group,88 cases were servial and 36 decd.It was shown statistically that the mortality of the hematoma quantitative aspiration in the ultra early stage group was obviously lower than in the early and delayed stage groups and the survival quality was evidently higher than in the delayed stage group.The authors thought that CT guided stereotactic hematoma quantitative aspiration in treating the hypertensive encephalorrhagia had the advantages of simple operation,accuracy and safety,and was suited to the encephalorrhagia situated in the deep of the cerebrum and in the brain stem and good for the emergency treatment of the older patients and the patients in bad general condition or in critical condition.