手术治疗高血压性脑出血患者70例临床分析  

Clinical analysis on surgical treatment of 70 cases with hypertensive cerebral hemorrhage

作　　者：王亮[1] 张建富[1] 汤金霞[1] 房丹丹[1] 

机构地区：[1]山东省威海市立医院,264200

出　　处：《中国医学创新》2010年第33期49-50,共2页Medical Innovation of China

摘　　要：目的探讨高血压性脑出血的临床特点、手术方式及时机。方法对70例高血压性脑出血患者根据出血的类型、出血量及病程采用因型施治的手术方案。结果本组70例患者,发病90 d后存活61例,其中ADLⅠ级11例,ADLⅡ级21例,ADLⅢ级17例,ADLⅣ级7例,ADL V级5例;死亡9例,死亡率12.9%。结论采用因型施治的手术方案能够提高患者的生存率及存活患者的生存质量。Objective To investigate the clinical characteristics, operative methods and timing of hypertensive cerebral hemorrhage. Methods According to the types, volume and course of hemorrhage, determination of surgical treatment was based on the differentiation of type of hemorrhage. Results Among the 70 patients,61 eases survived after 90 days, ADL I （11 cases）,ADL II （21 cases）,ADL III（17 cases）,ADL IV（7 cases）,ADL V （5 cases）; 9 eases died,and mortality rate was 12.9%. Conclusion Determination of surgical treatment based on the differentiation of type of hemorrhage could improve survival rate and life quality of survivors.

关 键 词：高血压 脑出血 手术治疗 

分 类 号：R651.1[医药卫生—外科学]