无框架立体定向钻孔引流术治疗高血压性脑出血并发症的临床分析  

Clinical analysis of the frameless stereo - taxic puncture and drainage in the treatment of the complications of the hypertensive intracerebral hemorrhage

作　　者：姜颢[1] 张连东[1] 葛燕萍[1] 林兆奋[1] 赵宝龙[1] 徐兴凯[1] 施巍[1] 谭美春[1] 张浩[1] 刘颖[1] 周丽红[1] 

机构地区：[1]上海中医药大学附属曙光医院宝山分院(原上海宝山中心医院)急诊科ICU,201900

出　　处：《中国急救医学》2010年第6期537-539,共3页Chinese Journal of Critical Care Medicine

基　　金：国家高科技发展计划“863”项目（No.2001AA422110）;上海市宝山区科委项目（N0.03-A-29）

摘　　要：目的 比较无框架立体定向钻孔引流术（FSTPD）与保守治疗高血压性脑出血并发症的发生率.方法 64例出血量40～70 mL的高血压性脑出血患者分为两组,32例患者采用FSTPD（治疗组）,32例患者采取保守疗法（对照组）,对两组患者的并发症进行比较,并进行统计学分析.结果 高血压脑出血常见并发症有肺部感染、消化道出血、肾脏损害、脑心综合征、神经源性肺水肿及死亡,治疗组较对照组并发症发生率明显减少（P＜0.05）.结论 接受FSTPD组常见并发症及死亡率较保守治疗组明显降低.Objective To compare the clinical curative effect in the treatment of the complications of the hypertensive intracerebral hemorrhage between the frameless stereo - taxic puncture and drainage and the conservative treatment. Methods 64 cases of hypertensive intracerebral hemorrhage （with the volume of 40 - 70 mL） were divided into two groups. 32 cases treated with the conservative treatment, and other 32 cases received frameless stereo - taxic puncture and drainage. The complications were compared statistically between the two groups. Results Most common complications were pneumonitis, hemorrhage of the digestive system, kidney dysfunction, cardio - cerebral syndrome, neurogenic pulmonary edema. The complication rate was remarkably lower in the frameless stereo -taxic puncture and drainage group than in the conservative treatment group （ P 〈 0. 05 ）. Conclusion The complication and the mortality incidence was lower in the frameless stereo - taxic puncture and drainage group than in the conservative treatment group.

关 键 词：并发症 无框架立体定向钻孔引流术(FSTPD) 脑出血 高血压 

分 类 号：R651[医药卫生—外科学]