医学信息Issue(14):266-267,2.
微创治疗高血压脑出血的临床分析
Clinical Analysis on Minimally Invasive Treatment in Patients with Hypertensive Cerebral Hemorrhage
赵展 1殷利明 1卓礼霞 1钟德泉 1王文涛 1徐伟光 1张威1
作者信息
- 1. 广东药学院附属第一医院,广东 广州 510080
- 折叠
摘要
Abstract
Objective To discuss clinical ef ects between trepanation & drainage and smal bone window craniotomy group in treating hypertensive hemorrhage patients. Methods We reviewed 152 cases after Mini-wound treatment in hypertensive hemorrhage from June 2006 to June 2011.The cases were divided into minimally invasive trepanation and drainage and craniotomy group with small bone window craniotomy group.The operation time,hematoma clearance rate,drainage tube extraction time,acute neurological function improvement,postoperative complications and activity of daily living of 3 months after surgery were compared.Results Trepanation & drainage group have lower rates of operation time and Hematoma clearance rate but higher rates of drainage tube extraction time and Intracranial rehaemorrhagia than those of smal bone window craniotomy group ( <0.05). No significantly dif erences were found in complications of Pneumonia,electrolyte disturbances,gastrointestinal bleeding,intracranial infection,acute kidney injury,urinary tract infection,acute neurological improvement,3 months'ADL after surgery and mortality rate.Conclusion Both trepanation&drainage and smal bone window craniotomy groups are ef ective minimal y invasive treatment in treating hypertensive hemorrhage patients. Many factors can be integrated to our choice of operation by comparing advantages and disadvantages respectively.关键词
高血压脑出血/微创治疗/临床疗效Key words
Hypertensive hemorrhage/Minimal y invasive treatment/Clinical effect引用本文复制引用
赵展,殷利明,卓礼霞,钟德泉,王文涛,徐伟光,张威..微创治疗高血压脑出血的临床分析[J].医学信息,2014,(14):266-267,2.