CT导向穿刺抽吸手术治疗高血压脑出血  

The Operation of CT-oriented Puncture and Aspiration for Hypertensive Cerebrac Hemorrhage

作　　者：王朝晖[1] 赵广祚[1] 孙思文[1] 刘万梁 刘永吉[1] 

机构地区：[1]青岛市海慈医院,266033

出　　处：《青岛医药卫生》2000年第6期408-409,共2页Qingdao Medical Journal

摘　　要：目的 总结CT导向穿刺抽吸手术治疗高血压脑出血。方法 30例高血压脑出血病人年龄在50～82岁之间,平均年龄61岁,术前多数病人有其它脏器不同程度的功能障碍,手术在CT室内进行,局麻下以5mm或6mm直径骨钻钻孔,脑针穿刺反复抽吸或冲洗,抽吸量达血肿量的50％～80％。多数手术在发病后6～24小时进行。结果 手术后病人意识障碍有不同程度的改善,抽吸血肿量越多恢复越好,未发生颅内感染和再出血,死亡5例。结论 CT定位导向穿刺抽吸手术治疗高血压脑出血手术方法简单,定位准确,手术创伤小,对病人全身影响小,非常适用不能耐受全麻下开颅的病人。Objective To summarize the operation of CT-oriented puncture and aspiration for hypertensive cerebral hemorrhage. Methods 30 cases with hypertensive cerebral hemorrhage who ranged in age from 50 to 82 years, (mean 61 years)were underwent the operation of CT-oriented puncture and Aspiration. Most of them presented with dysfunctions of other organs to some degree. All operations we conducted were in the CT-room. During the operation, a bone drill with 5mm or 6mm diameter was required to make a hole. We also used brain trocars to aspirate or irrigate again and again. The volume of aspiration needed 50%-80% of the hematoma. The above precedure we did were under local anesthesia. Most of the operations were performed within 6-24 hours after diseases. Results Conscious improvement was noted to some extent,The more volume we aspirated during the operations,the,better patients were after operations. There was no intracranial infection and re-currence of hemorrhage found. Five patients were died in the 30 cases after operations. Conclusion The operation of CT-oriented puncture and aspiration for hypertensive cerebral hemorrhage can be applied in patients who can not tolerate general anesthesia for opening skull operations. The precedure is simple,and also with exact localization,less invasion.

关 键 词：高血压脑出血 CT导向 抽吸术 

分 类 号：R651.1[医药卫生—外科学]