青年高血压脑出血40例外科治疗的临床分析

Surgical Treatment of Youth Hypertensive intracerebral hemorrhage Report of 40 cases

目的：探讨青年高血压脑出血患者外科治疗疗效。方法：对40例青年高血压脑出血经系统综合外科治疗患者进行回顾性分析。结果：患者术后死亡3例，存活37例，随访3~6个月，改良Rankin评分量表评分1~3分良好者31例。结论：对青年高血压脑出血患者正确掌握手术指征，尽早积极手术，充分缓解颅内压，能够降低病死率，提高存活率及生活质量。

Objective：To explore the surgical treatment efficacy of youth hypertensive intracerebral hemorrhage. Methods：Retrospective analysis of 40 cases of youth hypertensive intracerebral hemorrhage were treated with surgical treatment systematically.Results：Of the 40 cases patients with surgical treatment, 3 died after operation, 37survived to discharge. By the following-up from 3 to 6 month,31 cases prove good with 1 to 3 points in Modified Rankin Scale score.Conclusion：For young patients with hypertensive cerebral hemorrhage,correct surgical indications and early aggressive surgeon to fully relieve intracranial pressure, can reduce mortality and improve survival and quality of life.