84例严重脑内血肿急诊微创血肿清除术救治体会  

COMPREHENSION OF TREATING SERIOUS INTRACEREBRAL HEMATOMA WITH MICRO-INVASIVE OPERATION OF 84 PATIENTS AT EMERGENCY

作　　者：谢言秋[1] 董春雷[1] 谢云鹏[2] 

机构地区：[1]中国人民解放军第266医院,河北承德067000 [2]承德医学院

出　　处：《承德医学院学报》2010年第3期245-248,共4页Journal of Chengde Medical University

摘　　要：目的:探讨提高严重脑内血肿急诊救治成功率的新途径。方法:采用微创术治疗84例严重脑内血肿病人,以同期采用保守治疗的80例严重脑内血肿病人作为对照组,观察记录两组病人治疗7d、14d、30d的死亡率和神经功能缺损评分。结果:微创组治疗后7、14、30d的死亡率为别为11.9%、20.2%和35.7%,均明显低于同期对照组的死亡率(P<0.05);微创组治疗后14d、30d的神经功能缺损评分明显低于对照组(P<0.05)。结论:早期微创脑内血肿清除可显著提高脑内血肿的急诊救治成功率,可在急诊抢救室内开展。Objective：To explore new method for elevating the survival rate of patients with serious intracranial hemorrhage.Methods：84 patients with serious intracerebral hemorrhage were treated with micro-invasive operation,80 patients with serious intracerebral hemorrhage that were treated with expectant treatment were taken as control at corresponding time period.The death rate and the score of neurologic impairment were respectively recorded 7d,14d and 30d after treatment.Results：At 7d,14d and 30d after treatment,the death rate of patients in micro-invasive operation group was 11.9%,20.2% and 35.7% respectivly,which were obviously lower than that of control group（P0.05）.At 14d and 30d after treatment,the score of neurologic impairment of patients in micro-invasive operation group was significantly lower than that of control group（P0.05）.Conclusions：Micro-invasive operation in emergency department can significantly elevate the treating achievement ratio for patients with serious intracerebral hemorrhage.

关 键 词：脑内血肿 微创治疗 YL-1型颅内血肿穿刺针 

分 类 号：R651.1[医药卫生—外科学]