31例高血压性脑出血的手术治疗

To Explore the 31 Cases of Clinical Surgical of Hypertensive Intracerebral Hemorrhage

目的：探讨高血压脑出血的手术治疗体会。方法对31例高血压性脑出血患者采用手术治疗消除血肿，制止出血，缓解颅内压增高，促进神经功能的进一步恢复。结果随访4～6个月，恢复良好15例，生活自理6例，生活自理困难3例，卧床不能自理4例，植物样生存1例，死亡2例。结论对于任何部位的出血，无论采取何种手术方式，其出血量越大，则预后越差。清除血肿，降低颅内压，使受压而未破坏的神经元恢复功能，防止和减轻出血后一系列继发性病理变化，打破危及生命的恶性循环。

Objective To explore the clinical surgical of hypertensive intracerebral hemorrhage.MethodsSelected 31 cases of hypertensive cerebral hemorrhage treated by surgery to eliminate hematoma, stop bleeding, relieve increased intracranial pressure, and promote the further recovery of neurological function.Results Follow-up 4 to 6 months, 15 cases recovered well, 6 cases of self-care, self-care dififculties in 3 cases, bed not take care of 4 cases , 1 case of survival of plant samples , and 2 died.Conclusion Regardless of taken the surgical approach for any parts of the bleeding, the greater the amount of bleeding, the worse the prognosis. That remove the hematoma, increased intracranial pressure, the pressure without damage to neuronal recovery, prevent and mitigate the pathological changes after a series of secondary hemorrhage, threatening to break the vicious circle of life.