摘要
目的 探讨经额极微创血肿穿刺抽吸术治疗高血压性脑出血的疗效和影响疗效的主要因素.方法 回顾性分析经额极微创血肿穿刺抽吸术治疗38例高血压性脑出血患者的术后疗效.结果 38例患者中存活37例(97.37%),死亡1例(2.63%);37例生存者中术后3个月随访,日常生活能力分级:Ⅰ～Ⅱ级25例(67.58%),Ⅲ级10例(27.03%),Ⅳ级2例(5.41%).结论 经额极微创血肿穿刺抽吸术治疗高血压性脑出血安全、有效、病死率低、致残率低、预后好.
Objective To investigate the therapeutic effects of minimum invasive hematoma evacuation in treating patients with hypertensive intracerebral hemorrhage and the main factors affecting the therapeutic effect.Methods Therapeutic effects of 38 patients,with hypertensive intracerebral hemorrhage received minimum invasive hematoma evacuation were analyzed retrospectively.Results Among 38 cases with hypertensive intracerebral hemorrhage one is dead(2.63%),37 cases is alive 3 months later(97.37%).ADL1-2:25 cases(67.58%), ADL3:10 cases(27.03%),ADL4:2 cases(5.41%) according to normal life ability level.Conclusion Minimum invasive hematoma evacuation is a safe and effective method in treating patients with hypertensive intracerebral hemorrhage with low mortality and disability rate and with good prognosis.
出处
《当代医学》
2008年第3期7-9,共3页
Contemporary Medicine
关键词
高血压性脑出血
额极
微创手术
血肿抽吸
尿激酶
Hypertensive intracerebral hemorrhage
Frontal pole
Minimum invasive surgery
Hematoma evacuation
Urokinase
