高血压脑室出血手术治疗25例临床分析

Clinical Research of the Operation Treating Hypertensive Cerebral Intraventricular Hemorrhage

目的:探讨原发性高血压性脑室出血的手术方法。方法:采用开颅血肿清除术伴腰池脑脊液外引流治疗25例原发性高血压脑室出血患者,观察术后3个月格拉斯哥预后评分(GOS)。结果:术后3个月随访,GOS评分5分7例,4分5例,3分8例,2分3例,1分2例。结论:开颅血肿清除术伴腰池脑脊液外引流是治疗高血压脑室出血的有效方法。

To explore the techniques of surgical treating the primary hypertensive intraventricular hemor- rhage. Methods： Randomly choosing 25 patients of primary hypertensive intraventricular hemorrhage who were treated by frontal transcortieal approaeh combing with for cast were assessed accorting to the Glasgow Outcome Scale （GOS） after 3 months of follow-up. Results： 7 patients had GOS grade 5,5 patients had GOS grade 4,8 patients had GOS grade 3,3 patients had GOS grade 2,2 patients had COS grade 1. Conclusion：Frontal transcortical approachis effective in trea- ting primary hypertensive intraventricular hemorrhage east.