微创穿刺治疗高血压性脑出血112例临床分析

Clinical Analysis of 112 Cases of Hypertensive Intracerebral Hemorrhage with Microinvasive Puncturation Therapy

目的：探讨微创穿刺治疗高血压脑出血的疗效。方法高血压性脑出血患者112例，根据CT定位，选择相应长度的YL-1型一次性颅内血肿粉碎穿刺针置入血肿腔内，抽吸引流血肿，同时注入适量尿激酶反复冲洗引流。结果112例患者中21例死亡，91例存活者意识状态及肢体功能术后1～5 d内均有好转，2例呈植物状态。结论微创穿刺术治疗高血压脑出血（血肿量＞25 mL）能提高临床治疗效果，促进神经功能恢复，提高患者日常生活能力，且安全简便，费用低廉，损伤轻微。

Objective To evaluate the effect of microinvasive puncturatio in therapy of hypertensive intracerebral hemorrhage. Methods In 112 cases of hypertensive intracerebral hemorrhage,with CT orientation, the appropriate length of YL-1 type of intracranial hematoma puncture needle was penetrated into the hematoma. Washing, drainage and Urokinase were applied. Results 21 patients died, 91 patients＇ consciousness and physical function got better in 1-5 days, and 2 patients were in a vegetable state. Conclusion In therapy of hypertensive intracerebral hemorrhage, microinvasive puncturation can improve efficiency of clinical treatment, recovery of nerve function and daily living of patients,with advantages of safety,convenience,cheaper costs and minimal trauma.