212例高血压脑出血的外科治疗

Surgical treatment of hypertensive cerebral hemorrhage in 212 cases

目的:观察高血压脑出血外科治疗的临床效果。方法:回顾性分析2003年1月～2006年12月我院进行外科治疗212例高血压脑出血术后死亡率、神经功能缺损、生活自理能力、出血部位、出血量、手术时机与疗效关系。结果:出血部位、出血量、手术时机与疗效有关,手术时机与再出血有关。结论:出血量在80ml以下外科治疗疗效佳,脑叶出血比基底节、丘脑出血疗效佳,6～24小时为最佳手术时机。

Objective ：To observe the clinical effect of surgical treatment for hypertensive cerebral hemorrhage.Methods：The postoperative mortality, nervous function defect, viability of daily life, bleeding site,amount of bleeding and the relationship of operative opportrinity and curaitve effect in 212 eases of hypertensive cerebral hemorrhage from January 2003 to October 2006 treated in our hospital were analysed retrospectively.Results：The curative effect had relationship with the bleeding site, amount of bleeding and operative opportunity,and the operative opportunity had relationship with the bleeding.Conclusion：The curative effect in the patients,whose amount of bleeding was less than 80 ml would be very good, so was the bleeding site in the thalamus compared with that in the basal ganglia.The bleeding time from 6 to 24 hours was the optimal operative opportunity.