高血压脑出血外科手术治疗时机及方式的选择  

Selection of time and way of surgical management in curing patients with hypertensive cerebral hemorrhage

作　　者：夏凯[1] 王新志[1] 郭玉臣[1] 张建军[1] 

机构地区：[1]泰山医学院附属聊城市第二人民医院神经外科,山东临清252601

出　　处：《中国实用医刊》2009年第17期9-10,共2页Chinese Journal of Practical Medicine

摘　　要：目的 探讨不同高血压脑出血患者外科手术治疗时机及方式的选择。方法回顾性分析采用微创锥颅软通道引流、小骨窗开颅、骨瓣开颅三种术式治疗高血压脑出血患者576例的临床资料。结果存活504例（87．5％），其中恢复良好303例（60．1％），中残103例（20．4％），重残72例（14．3％），植物生存26例（5．2％）。死亡72例（12．5％）。结论不同类型的高血压脑出血选择恰当的手术时机及采用不同的手术方式能明显降低病死率及致残率，提高治愈率。Objective To study the selection of time and way of surgical management in curing patients with hypertensive cerebral hemorrhage. Methods Clinical data from 576 patients with hypertensive cerebral hemorrhage were reviewed retrospectively. Three different surgical ways including microinvasive craniopuncture and soft tube drainage, craniotomy with small bone window and craniotomy with bone flap were applied. Results 504 patients survived（87.5% ）. Of the 504 patients, 303 cases recoverd well （60. 2% ）, 103 turned out moderate disabled（20.4% ）,72 severe disabled（ 14.3% ）and 26 persistent vegetable state（5.2% ）. 72 patients died（12.5%）. Conclusions Correct time and way of surgical management for different patients with hypertensive cerebral hemorrhage can help lowering fatality rate and mutilation rate,and raising cure rate obviously.

关 键 词：高血压脑出血 手术治疗 时机 方式 

分 类 号：R651.1[医药卫生—外科学]