骨窗血肿清除引流在高血压脑出血中的应用

Application of Haematoma DrainageTo High Blood Pressure cerebral hemorrhage

目的：对１６例高血压脑出血外科治疗进行探讨。方法：采用直切口小骨窗血肿清除术后引流的方法进行治疗，并对１６例高血压脑出血从手术时机、适应症、手术方法、动态ＣＴ观察，术后并发症等问题进行分析，结果：术后存活１２例占７５％，死亡４例占２５％，术后１２个月随访患者恢复效果满意。结论：为今后掌握高血压脑出血外科治疗原则有一定帮助。

Objective: To investigate the efficacy of treatment in cases ofhigh blood pressure cerebral hemorrhage. Methods:Drainage was performed after the haematoma dissection. Results:Of the 16 cases investigated,twelve survived (75%)and four died (25%).Follow-up survey after 12 months showed satisfactory effects. Conclusion:The analysis on operation opportunities, adaptabilities, operation methods, dynamic CT observation and complications may be helpful to master the principle of surgical treatment of high blood pressure cerebral hemorrhage.