高血压脑出血术中行迷走神经减压术的降压研究

Intracranial vagal neurovascular decompression for acute hypertensive intracerebral hemorrhage

目的 :探讨高血压脑出血手术中行颅内迷走神经减压术对患者血压的影响。 方法 :对 2 2例高血压脑出血患者在清除血肿后 ,即刻行迷走神经微血管减压术。 结果 :手术后 7例血压完全正常 ,8例在手术 1周内血压接近正常 ,3例在手术 2周内血压接近正常 ,4例血压无明显改善。 结论 :颅内迷走神经微血管减压可以治疗顽固性高血压 ,避免高血压脑出血术后的再出血 ,减少两次手术和麻醉的影响 。

Objectives: To study intracranial vagal neurovascular decompression in the treatments of acute hypertensive intracerebral haemorrhage(HICH) and its effect on the blood pressure. Methods: Intracranial vagal neurovascular decompression was performed after removal of hematomas in 22 cases with acute hypertensive cerebral haemorrhage. Results: Postoperatively, the blood pressure returned to normal in 7 cases, approaching normality a week after operation in 8 cases and two weeks after operation in 3 cases, no obvious changes in 4 cases. Conclusions: Intracranial vagal neurovascular decompression is of benefit in decreasing blood pressure in patients with hypertensive intracerebral haemorrhage. This method might avoid reoperation, anesthesia, and rebleeding postoperatively. It would be a new theory and an effective method for refractory essential hypertension.