摘要
目的:探讨小骨窗开颅显微外科治疗高血压脑出血的临床效果。方法:超早期7小时内应用小骨窗开颅显微外科治疗58例高血压脑出血患者。结果:临床治疗58例。均在术后第一天复查头颅CT,血肿清除率在80%以上,有3例再出血,3例死亡,术后半年采用ADL(日常生活能力)分级法,Ⅰ级13例,Ⅱ级16例,Ⅲ级17例,Ⅳ级8例,V级1例。结论:超早期小骨窗开颅显微外科治疗高血压脑出血疗效满意。明显提高患者生存质量,是一种安全、有效的微创手术。
Conclusions: To study the small window of bone craniotomy microsurgery treatment of hypertensive cerebral hemorrhage clinical results. Methods Super-early 7 hours method of application of a small window of bone craniotomy microsurgery treatment of 58 cases of high blood pressure in patients with cerebral hemorrhage. Results: Results of the clinical treatment of 58 cases, all in the head after the first day of the review of CT. hematoma clearance rate in more than 80%. 3 cases of rebleeding, 3 deaths, six months after adoption of ADL (activities of daily living) classification. Ⅰ level 13 cases. Ⅱ level of 16 cases, Ⅲ level of 17 cases, Ⅳ 8 cases. Ⅴ level 1. Conclusions: Conclusions of the ultra-early craniotomy small window of bone micro-surgical treatment of hypertensive cerebral hemorrhage satisfaction with the improved quality of life of patients is a safe and effective minimally invasive surgery.
出处
《中国医药导刊》
2009年第3期384-385,共2页
Chinese Journal of Medicinal Guide
关键词
小骨窗开颅
高血压脑出血
显微外科
small window of bone craniotomy
hypertensive cerebral hemorrhage
microsurgery