外科治疗混合性脑卒中15例回顾性分析

目的探讨混合性脑卒中外科治疗有效治疗模式。方法回顾性分析15例经头颅CT确诊并经外科手术治疗的混合性脑卒中病例资料。结果出血梗死型12例行颅内血肿清除并去骨瓣减压术,一个月内死亡2例,余病例按脑卒中患者神经功能缺损程度标准评定疗效,基本治愈5例,好转3例,无效2例;梗死出血型3例,行去骨瓣减压并硬脑膜成形术,一个月内死亡1例,2例按脑卒中患者神经功能缺损程度标准评定疗效,均达基本治愈。结论混合性脑卒中病情危重,临床表现复杂,临床上多采用稳妥的中性治疗,但对于中性治疗不能控制的恶性高颅压或病情逐渐加重者适时采取手术,也可取得较好效果。

Objective To investigate the treatment of mixed stroke and effective treatment modalities of surgical treatment. Methods Retrospective analysis of 15 cases confirmed by head CT and accepted the surgical treatment of mixed stroke information. Results 12patients hemorrhagic- infarction type received intracranial hematoma Clear and to decompressive craniectomy, two cases of death within one month, the less cases of stroke patients according to the degree of neurological deficit efficacy criteria, the basic five cases of cure, improvement in 3 cases, noneffective in 2 cases. Three cases of infarction-hemorrhagic type accepted decompressive craniectomy and dural angioplasty, 1 patient died within one month, two cases of patients with stroke patients according to the degree of neurological deficit efficacy criteria, in compliance with the basic cure. Conclusion The mixed-stroke in a critical condition, clinical the performance of the complexity of clinical use of a neutral and secure treatment, but beyond the control of neutral treatment of malignant intracranial hypertension or progressive disease were taken to surgery in good time also can get good results.