血肿清除加去骨瓣减压术治疗重症高血压基底节脑出血  

Decompressive craniectomy plus hematoma evacuation in patients with hypertensive basal ganglia hemorrhage:a preliminary study

作　　者：林逢春[1] 盛汉松[1] 王怀瓯[1] 

机构地区：[1]温州医学院附属第二医院神经外科,浙江温州325027

出　　处：《中风与神经疾病杂志》2010年第7期641-643,共3页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探索血肿清除加去骨瓣减压及硬膜减张缝合在治疗高血压基底节脑出血的患者中的疗效。方法连续收集去骨瓣手术治疗的35例患者,记录的数据包括术前GCS评分,血肿大小,瞳孔反应,ICH评分等。随访指标有30d死亡率以及最近一次的ADL评分。结果 35例患者中27例(77%)30d内存活。27例存活者在平均13个月的随访中16例(62%)神经功能预后良好(ADL评分I-Ⅲ级)。结论高血压基底节脑出血患者施行血肿清除合并去骨瓣减压术有望降低死亡率,改善神经功能预后。Objective To investigate the effect of decompressive craniectomy in patients with hypertensive basal ganglia hemorrhage （HBH） was much less frequent. Methods Records of 35 consecutive patients with HCH treated with decompressive craniectomy were reviewed. The data collected included pupillary activity,Glasgow Coma Scale （GCS） score at admission and before surgery,ICH volume,ICH score Outcome was assessed on 30 day mortality and Activity of daily living （ADL） scale at the last follow-up. Results Of the 35 patients with decompressive hemicraniectomy,27 （77%） survived 30 days after ictus;of those 27,16 （62%） had good functional outcome,defined as a ADL of I to III （mean followed-up for 13 months）. Conclusion Decompressive craniectomy with hematoma evacuation could be life-saving and improves unfavorable outcomes in patients with HBH.

关 键 词：高血压基底节脑出血 去骨瓣减压术 血肿清除术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]