中国医学创新Issue(7)：140-142,3.DOI:10.3969/j.issn.1674-4985.2015.07.048
显微镜下开颅血肿清除术治疗高血压脑出血
Under A Microscope Craniotomy Hematoma Removal to Treat the Hypertensive Cerebral Hemorrhage
李祥富 1王七玲 1赵东刚 1闫俊1
作者信息
- 1. 三峡大学人民医院 湖北 宜昌 443000
- 折叠
摘要
Abstract
Objective: To investigate the microscopically craniotomy hematoma removal clinical effect in the treatment of hypertensive intracerebral hemorrhage.Method: A retrospective analysis treated 253 hypertensive cerebral hemorrhage patients with clinical data under a microscope craniotomy hematoma removal from May 2009 to May 2014, including the conventional decompressive craniotomy hematoma in 68 cases, a small bone window craniotomy hematoma removal in 185 cases.Result: 24 h after operation, all patients were scanned CT, 119 cases of hematoma cleared completely, 87 cases of residual hematoma volume ≤ 10 mL, 46 cases of 10 mL < residual hematoma volume ≤ 20 mL, 1 case of residual hematoma volume 25 mL. According to GOS scale, 5 points in 71 cases, 4 points in 95 cases, 3 points in 55 cases, 2 points in 24 cases, 1 point in 8 cases.Conclusion: Hypertensive cerebral hemorrhage is generally treated with nonsurgery treatment, the surgery treatment is applied when the hemorrhage is severe, accurately grasping the indication of surgery, microsurgery technique, operation time and handle of a variety of postoperation complications are the key points to reduce the mortality and improve the patients’survival rate.关键词
高血压脑出血/开颅血肿清除术Key words
Hypertensive cerebral hemorrhage/Craniotomy hematoma removal引用本文复制引用
李祥富,王七玲,赵东刚,闫俊..显微镜下开颅血肿清除术治疗高血压脑出血[J].中国医学创新,2015,(7):140-142,3.
