158例高血压小脑出血的手术治疗

Surgery for Hypertensional Cerebellar Hemorrhage：Experience of 158 Cases

目的探讨高血压小脑出血早期手术的临床意义。方法采用后颅窝开颅治疗小脑出血手术158例,其中小脑半球出血97例,小脑蚓部出血61例,血肿量均〉10ml,其中〉30m l46例,有血肿破入脑室者63例。手术时间：〈7h 72例,7～24h81例,24～48h5例。结果术前死亡1例,术后死亡7例,放弃治疗11例;102例恢复正常,完全生活自理,34例均能基本生活自理,3例出院后因其它原因死亡。结论高血压小脑出血尽早期手术治疗,是提高救治成功率、减少并发症,改善预后最有效的手段。

Objective To discuss surgical treatment for hypertensional cerebellar hemorrhage.Methods We deployed open surgery for 158 cases of cerebellar hemorrhage,including 97 cases hemorrhage of cerebellar hemisphere and 61 cases of cerebellar vermiform.All cases were with a blood mass more than 10ml,and 46 of them were more than 30ml.72 cases underwent surgery in less than 7 hours after hemorrhage,81 cases in 7～24 hours and 5 cases in 24～48 hours.Results 1 case dead before surgery,7 cases dead after surgery,11 cases gave up.102 cases were well recovered and 34 cases were moderate.3 cases dead after withdraw with other disease.Conclusions Early surgery is the most effective treatment for hypertensional cerebellar hemorrhage.