CT条件下重度壳核出血的治疗选择

The treatment device of serious putamen bleeding on CT.

目的重度壳核出血治疗方法的选择。方法随机抽样对比。结果意识状态分级达３级以上者，出血破入脑室或进入蛛网膜下腔者，ＣＴ扫描血肿量在５０ｍｌ以上者，脑室脑池受压变形，中线结构移位＞１．０ｃｍ者，外科手术均远远优于内科治疗。结论对年龄大于６５岁，意识障碍在４ｂ以上者，因预后凶险，外科治疗应慎重，应尽可能在发病后６小时内清除血肿，以降低死亡率，改善生存质量。

bjective To discuss the device of serious putamen bleeding on CT.Methods 212 cases of serious putamen bleeding were sampled randomly.Results Operation could get better treatment results for the patient in the situation of (1) GCS>3;(2) bleeding invased the ventricle;subarachnoid;(3)shape of ventricle and cistern changed;(4)Translocation of middle line>1cm.Conclusion The prognosis of patient with more than 60 years old or conciousness obstacle more than 4hrs is poor.Operation should be performed within 6hrs after stroke occured.