中国医药科学Issue(3)：205-208,4.
不同术式治疗高血压脑出血对术后脑水肿的影响
Analysis of the influence of different types of operations on post-operative cerebral edema in the treatment of hypertensive cerebral hemorrhage
李仕卓 1罗维平 1赵永耀 1郑仲贤 1詹传伟 1岑伟培1
作者信息
- 1. 广东省恩平市人民医院脑外科，广东恩平529400
- 折叠
摘要
Abstract
Objective To explore the influence of different types of operations on cerebral edema in the treatment of hypertensive cerebral hemorrhage. Methods 180 patients with hypertensive cerebral hemorrhage who were admitted to our hospital from 2008 to 2012 and received operation were selected as research subjects. The patients were assigned into three groups A, B, and C according to different curative methods, with 60 patients in each group. Group A was received hematoma drainage by skull drilling and catheter, group B was received hematoma clearance by craniotomy of small bone flap, and group C was received regular decompressive craniotomy. The edema volume and duration of edema in 72h after operation and the residual blood volume in 48h after operation were compared between the three groups. Results The clinical indices of patients received hematoma clearance by craniotomy of small bone flap were better than those received hematoma drainage by skull drilling and catheter and regular decompressive craniotomy, and the differences were statistically significant (P<0.05). Conclusion The patients with hypertensive cerebral hemorrhage who are received hematoma clearance by craniotomy of small bone flap have less edema volume in 72h, less residual blood volume in 48h and shorter duration of edema. The operation has a significant clinical effect and is worthy of clinical promotion and application.关键词
高血压脑出血/脑水肿/不同术式Key words
Hypertensive cerebral hemorrhage/Cerebral edema/Different types of operations分类
医药卫生引用本文复制引用
李仕卓,罗维平,赵永耀,郑仲贤,詹传伟,岑伟培..不同术式治疗高血压脑出血对术后脑水肿的影响[J].中国医药科学,2014,(3):205-208,4.
