快速细孔钻颅血肿穿刺抽吸引流术治疗高血压脑出血临床报告

Clinical Application of Rapid Small Hole Cranium-Puncture Aspirating and Drainage Operation in Treating Hypertensive Intracerebral Hemorrhage

目的：探讨快速细孔钻颅血肿穿刺抽吸引流术在治疗高血压脑出血中的价值。方法：根据头颅CT定位，采用快速细孔钻颅血肿穿刺抽吸引流术，选用适宜的单管、双管及多管穿刺抽吸部分血肿后，血肿腔注射尿激酶后再引流。结果：713例患者中，快速细孔钻颅血肿穿刺抽吸引流术后血肿明显减少632例（88.6%），血肿减少不明显及再出血81例（11.4%），术后颅内感染发生8例（1.1%）。近期优良率67.9%，随访3～18个月后远期优良率78.1%。结论：快速细孔钻颅血肿穿刺抽吸引流术具有微创、快捷、方便、安全、有效、实用、经济、适用范围广等特点，尤其适宜血肿部位深和小脑出血患者，可以有效提高患者的生存质量，适宜基层医院开展。

Objective： To investigate the value of rapid small hole cranium-puncture aspirating and drainage operation in the treatment of hypertensive intracerebral hemorrhage（HICH）. Methods：According to head CT positioning, using rapid small hole cranium-puncture aspirating and drainage operation, proper selection of a single tube, double tube and multiple tube after aspiration part of the hematoma,then injecting urokinase and drainage.Results：The operation had significantly reduced hematoma in 632 cases （88.6%）, rebleeding or no obvious decreasing had presented in 81 cases （11.4%）, 8 cases of intracranial infection （1.1%）.Recent excellent rate of 67.9%, followed up for 3~18 months,forward excellent rate of 78.1%. Conclusion：Rapid small hole cranium-puncture aspirating and drainage operation is minimally invasive,fast,convenient,safety,effective,practical,economic and other characteristics,wide range,especially suitable for deep hematoma and cerebellar hemorrhage, can effectively improve patient quality of life, suitable for primary hospital.