重症高血压脑出血的显微手术治疗  

Microsurgey for severely hypertensive cerebral-hemorrhage

作　　者：陈涛[1] 金保山[1] 张华平[1] 黄文宏[1] 黄元奎[1] 陈金华[1] 李先松[1] 毛华[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院湖北荆州市中心医院神经外科,荆州434020

出　　处：《实用神经疾病杂志》2005年第5期12-13,共2页

摘　　要：目的探讨显微手术治疗重症高血压脑出血的方法。方法总结分析138例采用骨瓣开颅显微镜下手术治疗重症高血压脑出血的经验。结果恢复良好38例(27·54%),中残55例(39·86%),重残17例(12·32%),死亡28例,死亡率20·29%。结论骨瓣开颅显微镜下手术是治疗重症高血压脑出血的有效治疗方法,既减压充分又创伤小。Objective To explore the way to treat severely hypertensive cerebral- heimorrhage by microsurgery. Methods To summarize the experienee of 138 cases of severely hypertensive cerebral - hemorrhage through bone eraniectomy under microscope, Results Significant improvement in 38 patients post - operatively without severe complications （27.54%）, mildly injuried 55 cases （39.86%）, severely injuried 17 cases（12.32%）, death 28 cases （20.29%） .Conclusions Bone eraniectomy operation under mieroseope is an effective theraputie method for hypertensive cerebral- hemorrhage. It has not only good dccompressive effectiveness, but also minimal cerebral tissue trauina.

关 键 词：重症高血压 脑出血 显微手术 骨瓣开颅显微镜下手术 并发症 

分 类 号：R544.1[医药卫生—心血管疾病] R743.34[医药卫生—内科学]