168例高血压脑出血患者外科手术治疗效果  

Treatment effectivity of surgical operation for 168 cases of hypertension encephalorrhagia

作　　者：温玉星[1] 余吉[1] 林伟[1] 陈金雄[1] 

机构地区：[1]福建省立医院,350001

出　　处：《口岸卫生控制》2005年第3期17-18,共2页Port Health Control

摘　　要：目的探讨高血压脑出血的手术方式、手术时机、预防再出血及手术技巧。方法回顾福建省立医院脑外科2000年1月-2005年1月收治的168例高血压脑出血手术病历。结果全组168例,死亡26例,生存质量分级:Ⅰ级27例,Ⅱ级40例,Ⅲ级51例,Ⅳ级21例,Ⅴ级3例。结论正确选择手术方式,超早期手术,预防再出血,显微镜使用等可提高手术成功率、改善生存质量。Objective To discuss the surgical mode, surgical time, further bleeding prevention methods as well as other surgical techniques in the cases with the hypertensive intra-cerebral hemorrhage. Methods The clinical data of 168 cases with hypertensive intra-cerebral hemorrhage from Jan 2000 to Jan 2005 were analyzed retrospectively. Results In all 168 cases, 26 cases were dead. The quality of activities daily life (ADL) was as follows: I class: 27 cases , II class: 40 cases, III class: 51 cases, IV class: 21 cases, V class: 3 cases. Conclusion To apply the proper operative modes, early operation, further bleeding prevention and the use of microscope in operation can improve the cure rate and ADL greatlv.

关 键 词：高血压脑出血 外科手术 手术方式 脑干 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R544.1[医药卫生—临床医学]