摘要
基底核区脑出血一直以来以高发病率、高致残率、高病死率著称。对于高血压脑出血的手术时机目前有3种倾向:超早期手术(<6 h)、早期手术(6~24 h)和择期手术(>24 h)。治疗方式往往根据血肿量分类:<30 mL通常选择保守治疗,30~50 mL根据个体差异选择保守或者手术治疗,>50 mL往往选择开颅手术治疗。近年来随着微创治疗理念的提出,分为显微镜小骨窗清除、神经内镜血肿清除和软(硬)通道血肿穿刺引流等方式。该文就以中等量(30~50 mL)基底核区脑出血患者的手术时机和微创治疗两方面进行阐述。
Basal ganglia hemorrhage has been noted for its high morbidity,high disability rate and high mortality. There are three different views in the operative timing： ultra-early surgery（ 6 h）,early surgery（ 6-24 h）,and elective surgery（ 24 h）. According to the amount of hematoma,there are three treatment methods. We choose conservative treatment when the volume is less than 30 mL. For moderate（ 30-50 mL） intracerebral hemorrhage,we choose conservative treatment or surgical treatment according to the patient＇s condition. However,greater than 50 mL,we usually choose surgical or even decompressive craniectomy. Surgical minimally invasive treatment is very popular in recent years,including small bone craniotomy using microscope,endoscopic hematoma evacuation and hematoma puncture drainage through soft（ hard） channel. Here describes the operative timing and minimally invasive treatment for patients with moderate（ 30-50 mL） basal ganglia hemorrhage.
出处
《医学综述》
2017年第19期3827-3831,共5页
Medical Recapitulate
关键词
基底核区脑出血
手术时机
微创治疗
Basal ganglia hemorrhage
Operative timing
Minimally invasive treatment
