脑出血穿颅清除术41例报道  

Report of the experience of the craniopuncture evacuation treatment in 41 patients with intracerebral hemorrhage

作　　者：佘晓春[1] 陈勇军[1] 王震[1] 何建军[1] 蒋晓明[1] 陈爱明[1] 李金林[1] 

机构地区：[1]江苏省如东县人民医院神经外科,如东226400

出　　处：《神经病学与神经康复学杂志》2010年第4期210-213,共4页Journal of Neurology and Neurorehabilitation

基　　金：国家"十五"科技攻关计划基金资助项目(2001BA703B16);国家"十一五"科技支撑计划基金资助项目(2006BAI01A13);卫生部科学研究基金资助项目(wsbkyjj2002-02-008)

摘　　要：目的总结脑出血穿颅清除术的临床效果。方法回顾性分析2005年9月～2008年6月施行穿颅血肿清除术的41例脑出血的临床资料。疗效评估指标为再出血率、病死率、临床转归等。结果本组再出血3例(7.3%),术后3个月死亡4例(9.8%),存活37例中临床转归优良26例(63.4%)。结论穿颅清除术治疗脑出血简易有效,发病6 h内为最佳手术时机。Objective To summarize the clinical effect and experience of craniopuncture evacuation for treating intracerebral hemorrhage. Methods A retrospective analysis was made on clinical data of 41 patients undergoing craniopuncture evacuation for intracerebral hemorrhage from Sep 2005 to Jun 2008.The therapeutic effects were assessed according to the rate of re-bleeding,death rate,and clinical outcomes. Results Among these patients,re-bleeding occurred in 3 cases(7.3%),3 months death occurred in 4 cases(9.8%),and 26 cases had good clinical outcomes(63.4%). Conclusion Craniopuncture evacuation of hematoma is simple and effective for treating intracerebral hemorrhage.Within 6 h after the onset was the best opportunity for craniopuncture evacuating treatment.

关 键 词：颅内出血 穿刺术 临床转归 

分 类 号：R651.11[医药卫生—外科学]