脑血管畸形破裂致颅内血肿的急诊治疗

An Analysis of the Emergency Treatment of Intracranial Hematoma for the Reason of Cerebral Vascular Malformation

目的：探讨脑血管畸形破裂致颅内血肿的急诊治疗.方法：选取我院在2006-2010年间收治的75例脑血管畸形破裂致颅内血肿患者,其中,男性40例,年龄在9个月-77岁之间,女性35例,年龄在2-79岁之间.所有患者均经临床诊断为脑血管畸形破裂致颅内血肿.将75例患者随机分为两组,观察组38例,对照组37例,观察组患者采用颅内血肿清除＋血管畸形切除治疗,对照组患者采用保守治疗,对两组患者的治疗情况进行跟踪观察,并记录所得数据.结果：经过一系列的治疗,两组患者的病情均得到了一定程度的改善,效果显著,75例患者中,观察组38例,显效19例,有效13例,无效4例,死亡2例,治疗有效率为84.2%,对照组37例,显效15例,有效12例,无效6例,死亡4例,治疗有效率为73%.观察组的治疗效果显著优于对照组治疗的效果,对患者病情有较大帮助.结论：在治疗脑血管畸形破裂致颅内血肿疾病时,采用颅内血肿清除＋血管畸形切除方法治疗的效果较为显著,对患者的病情改善有较大的帮助,因此,值得在临床推广应用.

Objective：To explore and discuss the emergency treatment of intraeranial Hematoma for the reason of cerebral vascular malformation. Methods：We chose 75 cases of patients with intraeranial hematoma for the reason of cerebral vascular malformation,among whom 40 cases were male patients aged between 9 months and 77, and 35 cases were female patients aged between 2 and 79. All the patients ere diagnosed as intracranial hematoma for the reason of cerebral vascular malformation. The patients were divided into two groups： the observation group with 38 patients and the con- trol group with 37 patients. The observation group were given intracranial hematoma and vascular malformation resection method,while the control group were given conservative treatment. Then we had a follow--up observation of these two groups and kept down all the data. Result.. After a series of treatment,the disease of two groups were all released to a cert,/in extent. The success rate of the observation group was 84.2% ,19 eases with obvi- ous effect,13 cases with good effect,a, cases invalid,2 cases dead,while the success rate of the control group was 73% ,15 cases wixh obvious effect, 12cases with good effect, 6 cases invalid, 4 cases dead. The clinical effect of the observation was better than the control group and can help more to the patients. Conelusiontlntracranial hematoma and vascular malformation resection method has obvious effect in curing the intracranial Hematoma for the reason or cerebral vascular malformatlon and can help more to the improvement of the patients＇ condition. Therefore it should be widely promoted.