文档介绍：高血压脑出血手术方式选择
作者:刘强,李光焱作者单位:646100 四川泸州,泸州市第二人民医院脑外科
【摘要】目的探讨高血压脑出血的适宜手术方式对临床效果的影响。方法回顾性分析采用去骨瓣减压并血肿清除术,小骨窗血肿清除术,脑内血肿立体定向引流术治疗的患者96例的临床资料。结果存活80 例,死亡16 例。随访12个月,预后良好28例,预后不良 42例。结论高血压脑出血外科治疗的主要目的是减压,但不必强行清除全部血肿。结合临床选择适当的手术方式应有利于有效降低颅内压,最大程度恢复神经功能是手术成功的关键。
【关键词】高血压;手术方式;预后
Clinical study of operation mode on hypertensive intracerebral hemorrhage
LIU Qiang,LI Guang- Second People’s Hospital, Luzhou 646000,China
[Abstract] Objective To explore the proper surgical options for hypertensive intracerebral hemorrhage,which could be regarded as the base of clinical Clinical data of patienfts performed by bone-out flat presion hematoma clearance,ventricular drainage and intracerebral hematoma stereotaxis drainage w
ere analyzed 80 were survival and 16 following up of 12 months,28 patients had good recovery and 42 severe Intracerebral pressure should be reduced as soon as possible,the gap between lobe of brain around hematoma and cerebral dura mater is the the best operation mode is key to gaining good effects of surgery.
[Key words] hypertension;operation model;prognosis
高血压脑出血是指高血压和脑动脉硬化病人自发出现的脑实质内出血[1],是急性脑血管病中病死率和致残率最高的疾病,占自发性脑内血肿的60%。其30天死亡率高达35%~52%。病后6个月仅有1/5的存活者恢复生活自理能力。目前高血压脑出血手术方式很多,如何选择合适的手术方式与预后关系密切。本科自2003年1月-2008年2月总计手术治疗高血压脑出血 96 例,现将结果报告分析如下。
1 资料与方法
一