摘要
目的探讨高血压脑出血的2种手术方法的治疗效果。方法选择原发出血部位均为基底节出血意识状况在Ⅱ-Ⅳ的高血压脑出血病人69例,35例采取骨瓣开颅血肿清除,34例采取微创血肿穿刺碎吸纤溶引流手术方法。结果69例病人3个月后GlasgowOutcomeScale(GOS)在3分以上者48例,半年后GOS在3分以上者55例,死亡6例。结论微创血肿穿刺碎吸纤溶引流术首选于意识Ⅱ-Ⅲ级者;对意识Ⅳ级者,首选骨瓣开颅。
Objective To evaluate the various surgical treatments of hypertensive intracerebral hemorrhage （HIH）.Methods 69 cases of HIH patients with hemiplagia and the coma scale grade Ⅱ- Ⅳ were underwent hematoma excavation or hematoma drainage under CT guidance and administration of fibrinolysis respectively. Results 48 patients were improved to over 3 points under the Glasgow Outcome Scale （COS） in three months,and the total cases with the COS over 3 points were 56 in six months.6 cases dead.Conclusion That hematoma drainage under CT guidance and administration of fibfinolysis is the finst choice to the coma scale Ⅱ- Ⅲ, but to the coma scale choise evacuation of intracerebral Hematomas is better.
出处
《江西医药》
CAS
2006年第11期834-836,共3页
Jiangxi Medical Journal
关键词
高血压基底节区出血
手术方式
疗效
hypertensive intracerebral hemorrhage
operate method
effect
