摘要
目的:探讨对不同部位高血压脑出血的规范化治疗,如何取得最好治疗效果。方法:近4年来开展高血压脑出血患者148例,回顾性分析规范化治疗情况。结果:148例根据出血部位和患者情况采用大骨瓣手术、小骨窗手术和钻孔引流手术;本组患者中死亡22例,存活126例;存活ADL分级:Ⅰ级21例,Ⅱ级17例,Ⅲ级54例,Ⅳ级23,Ⅴ级11例。结论:高血压脑出血病例手术介入应超早期;手术效果明显的以脑室出血和小脑半球出血为最佳;规范化治疗可以降低致残率,提高生活质量应是神经外科手术基本原则。
Objective： To investigate the different parts of the standardized treatment of hypertensive cerebral hemorrhage, and how to obtain the best therapeutic effect. Methods： Retrospective analysis of our department to carry out the last 4 years, 148 patients with hypertensive cerebral hemorrhage standardized treatments. Results： According to the results of 148 cases of bleeding and the patients condition using a large bone surgery, small bone window surgery and surgical drainage holes;used in cases of death in 22 cases, 126 cases of survival; cases, survival ADL classification： Ⅰ grade 21 cases, Ⅱ grade 17cases, Ⅲ grade 54 cases, Ⅳ grade 23., Ⅴ grade 11 cases. Conclusion ： cases of hypertensive cerebral hemorrhage early surgical intervention should be over; significant effect of surgery with intraventricular hemorrhage and cerebellar hemisphere hemorrhage is the best;standard treatment for reducing disability, improving quality of life should be the basic principles of neurosurgery.
