215例老年高血压脑出血的外科治疗  

Surgery treatment for 215 cases of old patients with hypertensive cerebral hemorrhage

作　　者：吴国彪[1] 

机构地区：[1]南方医科大学附属新会医院神经外科,新会529100

出　　处：《中国实用神经疾病杂志》2010年第15期41-43,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨老年高血压脑出血手术适应证、方式及疗效。方法回顾性总结和分析215例老年高血压脑出血患者临床资料,根据手术适应证、个体情况分别采取骨瓣成形开颅、小骨窗开颅和钻孔血肿碎吸术。结果开颅去骨瓣手术140例,痊愈37例,好转46例,12例自动出院,45例死亡;微创(含小骨窗)手术75例,痊愈46例,好转25例,3例死于术后肺部感染,1例死于急性肾衰竭。结论根据病人出血部位、年龄、既往病史及血压控制情况,采用个体化治疗能有效降低致残率、病死率。Objective To explore the operation indication, surgery methods and treatment effect of hypertensive cerebral hemorrhage in old patients. Methods Two hundred and fifteen cases of old patients with hypertensive cerebral hemorrhage were summarized and analyzed retrospectively. Traditional bone flap craniotomy, small bone window craniotomy and puncture drainage were choosed respectively according to surgical indication and persona/ situation of the patients. Results One hundred forty patients were treated by traditional hone flap craniotomy, recovery in 37 cases,improvement in 46 cases, dead in 45 pa- tients,and 12 cases giving up treatment;seventy cases were treated by minimally invasive surgery（including small bone window craniotomy） ,recovery in 46 patients,improvement in 25 cases,and 3 patients died of pulmonary infection,one died of acute kid- ney function failure. Conclusion According to the hemorrhage place, age, posterior disease history and hypertension level, the personal treatment can effectively reduce the disability and mortality.

关 键 词：老年 脑出血 外科治疗 

分 类 号：R743.34[医药卫生—神经病学与精神病学]