高血压性脑出血颅内血肿清除术84例临床观察研究  

Clinical study of intracranial hematoma of hypertensive intracerebral hemorrhage 84 cases

作　　者：夏新社 赖学章 王耀国[3] 魏文化 

机构地区：[1]驻马店市医学会,河南驻马店463000 [2]驻马店市中心医院神经内科 [3]驻马店市平舆县人民医院神经内科,河南平舆463400 [4]驻马店市第一人民医院神经内科,河南驻马店463400

出　　处：《医药论坛杂志》2012年第2期62-63,68,共3页Journal of Medical Forum

摘　　要：目的观察CT引导下锥颅血肿抽吸术的治疗效果。方法本研究将84例高血压性脑出血患者随机分成两组,即治疗组和对照组。治疗组在CT定位后进行锥颅血肿抽吸术,同时给一般内科治疗;对照组仅给一般内科常规保守治疗。通过观察两组患者血肿清除情况及疗程不同时期患者病情转归和神经功能恢复情况。结果治疗组血肿提前清除,患者病情稳定,病情好转早,最后神经功能恢复好,总死亡率明显低于对照组。结论锥颅血肿抽吸术能够明显降低死亡率,提高生存质量,为临床提供一定的参考依据。Objective To observe the effect of treatment of skull hematoma aspiration.Methods This observational study the 84 patients with hypertensive intracerebral hemorrhage were randomly divided into two groups,namely the treatment and control groups.CT-treated group in the skull after hematoma aspiration,but to the general medical treatment;The control group,only to the general routine medical conservative treatment.By observing two groups of patients with hematoma in patients with different stages of the disease and treatment outcome and recovery of neurological function.Results Early hematoma removal treatment group,patients in stable condition,condition improved early,the last good neurological recovery,total mortality was significantly lower in the control group.Conclusions Treatment of skull hematoma aspiration can decrease the mortality,worth of clinical use.

关 键 词：大脑半球出血 锥颅血肿抽吸术 治疗对照 临床研究 

分 类 号：R651.1[医药卫生—外科学]