摘要
目的:探讨小骨窗开颅术清除不同GCS分级高血压脑出血后血肿的治疗效果。方法:将76例基底节高血压脑出血患者,依据GCS评分分为3级:1级为12~15分;2级为8~11分;3级为3~7分。对不同GCS分级患者均采用小骨窗开颅血肿清除术,总结手术要点,并对术后疗效进行评估。结果:76例患者,GCS分级1级占30.26(23/76),2级占47.37%(36/76),3级占21.05%(16/76)。采用小骨窗开颅清除血肿后,根据GOS评分:1级恢复良好者20例,中残2例,重残1例;2级恢复良好者16例,中残13例,重残4例,植物生存2例,死亡1例;3级恢复良好者2例,中残5例,重残4例,植物生存,3例,死亡2例。结论:小骨窗开颅清除血肿对不同GCS分级患者预后影响不同,具有血肿清除可靠、再出血概率小、住院时间短、费用低等优点。
objective:To investigate the small bone window craniotomy surgery to remove different GCS grading hypertension cerebral hemorrhage hematoma after effective treatment .Methods:76 patients with hypertensive cerebral hemorrhage in basal ganglia , GCS score based on three levels:level 1 to 12 or 15 points; Level 2 is 8 ~11 points;Level 3 for 3 ~7 points.For different patients with GCS grading are used for removal of small bone window craniotomy hematoma , summarize the main points surgery ,and to evaluate postoperative curative effect.Results:76 patients, GCS grading 1 level of 30.26 (23/76), 2 levels of 47.37% (36/76), 3 (21.05%) (16/76).By small bone window craniotomy to clear hematoma after , according to GOS scores:1 fluent speaking and written level recovery , 20 patients with residual in 2 cases, heavy damage in 1 case;2 fluent speaking and written level recovery in 16 cases, 13 cases, 4 cases were severely disabled, plant survival in 2 cases, 1 case death;Fluent speaking and written 3 level recovery in 2 cases, in 5 cases, 4 cases were severe-ly disabled, plant survival, 3 cases, 2 cases died.Conclusion:small bone window craniotomy to clear hematoma effect on the prognosis of patients with different GCS grading is different , has the advantage of reliable ,and bleeding probability is small , shorter hospitalization time and lower cost.
出处
《中国伤残医学》
2014年第9期22-24,共3页
Chinese Journal of Trauma and Disability Medicine