重症高血压脑出血超早期手术治疗  

URGICAL TREATMENT OF SEVERE HYPERTENSION INTRACEREBRAL HEMORRHAGE AT ULTRA-EARLY STAGE

作　　者：张延庆[1] 颜世清[1] 伦学庆[1] 洪强萍[1] 

机构地区：[1]济宁医学院附属医院

出　　处：《济宁医学院学报》1998年第1期4-7,共4页Journal of Jining Medical University

摘　　要：目的研究超早期手术治疗重症高血压脑出血的疗效。方法对１９８５～１９９５年超早期手术治疗的１８６例重型高血压脑出血患者的临床特征、手术方法及手术效果进行回顾性总结。结果１８６例患者中５６例痊愈，４８例生活自理，３３例半自理，２５例因偏瘫而卧床，６例植物样生存，１８例死亡，死亡率９７％。结论超早期快速小骨窗开颅清除血肿、有效的显微止血是重型高血压脑出血有效、安全的治疗方法，术后重视围手术期处理，可减少并发症，提高生存质量，降低死亡率。Objective To study the surgical effect of severe hypertension cerebral hemorrhage at ultra-early stageMethods Arefrospetive study of 186 cases of hypertension cerebral hemorrhage from 1985 to 1995 was made to analyse their clinical manifestetions,surgical treatment and outcomeResults 18 cases (97%) died post operatively;6 cases were at vegetative state;25 cases developed hemiplegia and couldnt take care of themselves;48 cases could be self-reliable; 56 cases were improvedConclusion The authors concluded that,with rapid expansion of hypertensive intracerebral hematomas and careful perioperative managment,the curative rate and postoperative survival quality can be improved

关 键 词：脑出血 高血压 超早期 围手术期 外科手术 治疗 

分 类 号：R743.340.5[医药卫生—神经病学与精神病学]