微创血肿清除术治疗高血压脑出血病死率分析  

Analysis of Mortality of Hypertensive Cerebral Hemorrhage Treated with Micro-invasive Evacuation of Hematoma

作　　者：吴君仓[1] 群森[1] 张持[1] 赵昊[1] 郭茜[1] 徐文安[1] 刘祖欣[1] 

机构地区：[1]安徽省合肥市第二人民医院神经内科,230011

出　　处：《中华全科医学》2009年第9期913-914,共2页Chinese Journal of General Practice

基　　金：安徽省合肥市科技局重点科研课题(2007-1007)号

摘　　要：目的探讨微创血肿清除术对高血压性脑出血(HICH、30～80ml)病死率的影响。方法回顾性分析符合入选标准的高血压性脑出血患者136例(微创组67例,对照组69例),对两组患者病死率进行对照研究。结果①微创组死亡6例,病死率为8.9%,对照组死亡20例,病死率为28.9%(χ2=4.348,P=0.034),差异有统计学意义。②比较微创组和对照组死亡原因时,死于单纯脑疝的分别是33.3%和70.0%(χ2=4.803,P=0.025),差异有统计学意义。结论微创血肿清除术治疗高血压性脑出血能降低患者的病死率,是治疗高血压性脑出血较为理想的手术方法。Objective To investigate the impact of mini-invasive evacuation of hematoma on mortality of hypertensive cerebral hemorrhage （HICH ,30-80ml）. Methods 67 patients with HICH （surgical group）were treated with micro-invasive evacuation of hematoma, and 69 patients （control group）that matched with the surgical group in age, GCS, position and volume of intra-cerebral hematoma were treated with drug therapy only. The mortality of the two groups were analyzed. Results The difference of mortality between two groups was significant （ 8.9% vs 28.9% , χ2 = 4. 348, P = 0.034 ）. The difference of the reason of dying from single cerebral hernia between two groups was significant （ 33.3% vs 70, 0%, χ2 = 4.803,P = 0. 025 ）. Conclusion Micro-invasive evacuation of hematoma was an ideal surgical therapy to treat patients with HICH.

关 键 词：高血压脑出血(HICH) 微创血肿清除术 病死率 

分 类 号：R743.34[医药卫生—神经病学与精神病学]