急诊超早期钻孔引流术治疗高血压脑出血的意义  

Emergent Therapy with Trepanation and Drainage for Hypertensive Cerebral Hemorrhage at Super Early Stage

作　　者：彭森[1] 陈忠庆[1] 唐忠志[1] 郭亮[1] 程青[1] 杨剑虹[1] 

机构地区：[1]解放军广州军区武汉总医院急诊科,湖北武汉430070

出　　处：《临床军医杂志》2007年第6期815-816,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨急诊超早期应用钻孔引流术治疗高血压脑出血的意义。方法64例高血压脑出血患者按手术时期分为超早期组和早期组,每组32例,均行脑出血血肿钻孔引流术。结果超早期手术组患者死亡率为6.25%,早期手术组为34.38%,两组比较差异具有显著统计学意义(P<0.01)。随访:超早期手术组24例中生活自理的有20例,占83.3%;早期手术组17例中生活自理的有7例,占41.2%,两组比较差异具有显著统计学意义(P<0.01)。结论有手术适应证的高血压脑出血患者,应在发病6 h内急诊行颅内血肿钻孔引流术。Objective To investigate the therapy with trepanation and drainage for hypertensive cerebral hemorrhage at the department of emergency at super early stage.Methods Sixty-four patients with hypertensive cerebral hemorrhage were divided into two groups,i.e.ultra-early stage group（n=32） and early stage group（n=32）,in terms of the different operation time window.The trepanation and drainage of hematoma were used in both the groups.Results The death rate was 6.25% and 34.38% in the ultra-early stage group and in the early stage group,respectively.There was a remarkable difference between the two groups（P〈0.01）.Follow-up showed that the cases with self viability accounted for 83.3%（20/24） in the ultra-early stage group and 41.2%（7/17） in the early stage group,between which there was also an obvious difference（P〈0.01）.Conclusion The trepanation and drainage of hematoma should be performed for the patients of hypertensive cerebral hemorrhage fit for surgical operation within six hours.

关 键 词：急诊 超早期 钻孔引流术 高血压脑出血 

分 类 号：R743.2[医药卫生—神经病学与精神病学] R651.1[医药卫生—临床医学]