摘要
目的：高血压脑出血病人的手术治疗问题一直受到关注，本文分析高血压脑出血水囊置换引流血肿腔的脑保护作用。方法：对30例高血压脑内血肿病人进行血肿清除手术，将术后常规放置的引流管，改用双腔导尿管水囊引流支撑血肿腔，术后再慢慢将水囊抽掉。结果：30例高血压脑内血肿病人术后复查CT，未发现术区再次出现血肿。结论：脑内血肿急性减压后出现脑再灌注损伤，正常灌注压突破可以造成脑损害，水囊置换引流血肿腔可有效减轻再灌注损伤及正常灌注压突破，起到脑保护的作用，是预防高血压脑内血肿术后再次出血的关键技术。
Objective ：The operations for patients of HICH are paid many attention in many researches, well analyse the protective effect in brain of aqeuous capsule replacement in drainaging hematoma cavity （ACRDHC） for HICH. Methods：clear away the hematomas in 30 pa- tients of HICH, after that, change the normal drainagive tube with double cavity catheter, take out the aqeuous capsule in the end. Results： review of head CT after the operations for the 30 patients of HICH： no hematoma again in the area of operations. Conclusion：reperfusion injury is often induced by acuted decompression in brain hematoma, normal perfusion pressure breakthrough may induce brain injury, ACRDHC can alleviate reperfusion injuryf and normal perfusion pressure breakthrough effectively and protect the brain, so it＇s a pivotal technic in prevening rehemorrhage after the opearations of brain hematoma caused by hypertension.
基金
2006年广东省科技计划项目（项目号：63050）
关键词
高血压脑出血
再灌注损伤
正常灌注压突破
Hypertension
Intracerebral hemorrhage
reperfusion injury
normal perfusion pressure breakthrough
