中国医药科学Issue(14)：182-184,3.
两种手术方式治疗高血压脑出血的临床比较研究
A study of clinical comparison of two surgical procedures in the treatment of hypertensive cerebral hemorrhage
温小智1
作者信息
- 1. 广东省德庆县人民医院重症医学科，广东德庆526600
- 折叠
摘要
Abstract
Objective To compare and discuss the curative effect of two surgical procedures in the treatment of hypertensive cerebral hemorrhage so as to provide proofs for clinical treatment. Methods 212 patients with hypertensive cerebral hemorrhage were allocated to craniotomy group and YL-1 disposable needle puncture group. The two groups received craniotomy accompanied by cranioplasty and YL-1 intracranial puncture respectively based on bleeding positions, volume of hematoma, CT scanning results and consciousness before the surgery. Postoperative 24-hour FAM and ADL scores were observed and patients’prognosis was acquired. Results Postoperative 24-hour FAM scores and ADL proportion in the YL-1 intracranial puncture group were both significantly higher than those in the postponed craniotomy group(P<0.05);death cases of the YL-1 intracranial puncture group were 3/102 (2.94%), death cases of early craniotomy group were 12/58(20.68%), and death cases of postponed craniotomy group were 16/52(30.76%). The mortality rate in the early and postponed groups were all higher than that in the YL-1 intracranial puncture group(P<0.05). Conclusion Early operation of minimally invasive YL-1 intracranial puncture is effective in treating patients with hypertensive cerebral hemorrhage.关键词
高血压脑出血/骨瓣开颅血肿清除术/YL-1型穿刺术Key words
Hypertensive cerebral hemorrhage/Craniotomy accompanied by cranioplasty/YL-1 puncture分类
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温小智..两种手术方式治疗高血压脑出血的临床比较研究[J].中国医药科学,2014,(14):182-184,3.
