早期或超早期小骨窗开颅治疗高血压性脑出血的临床探讨

The Clinical Effect of Small Bone Window Craniotomy for Treatment of Hypertensive Intracerebral Hemorrhage

目的:探讨小骨窗开颅治疗高血压脑出血的临床疗效和意义。方法:对采用小骨窗开颅治疗高血压性脑出血80例进行分析。结果:发病距手术时间平均约6.2h,近期显效率17.5%,有效率79%,死亡率17.5%,远期显效率为46%,有效率72.5%,死亡率7.5%。结论:小骨窗开颅治疗高血压性脑出血有良好的效果,手术时机的选择及术后防治并发症对预后至关重要。

Objective.To explore the operational effect and significance of small bone window craniotomy for treatment of hypertensive intracerebral hemorrhage. Methods： 80 cases of hypertensive intracerebral hemorrhage were operated by small bone window craniotomy. Results. The average time from onset to surgery was 6h. In operational effect, marked progress rate of recent period wasl7. 5 %, effective rate 79%, and death rate 17. 5 %. Marked progress rate of long period was 46%, elective rate 72. 5%, and death rate 7. 5%. Conclusions： Small bone window craniotomy is an effective method for treatmen of hypertensive intracerebral hemorrhage. It is important for prognosis of hypertensive intracerebral hemorrhage to prevent and treat compiicatiorls and to select the right operation time.