微创穿刺术治疗高血压基底节脑出血16例  

Minimal invasive puncture in the treatment of hypertensive ganglionic hemorrhage

作　　者：梁一鸣[1,2] 陈伟新[1,2] 

机构地区：[1]暨南大学医学院第四附属医院 [2]广州市红十字会医院神经外科,广东广州510220

出　　处：《广州医学院学报》2012年第3期66-68,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的:观察微创穿刺术治疗高血压脑出血的疗效。方法:对2010年11月至2011年5月广州市红十字会医院神经外科16例高血压基底节脑出血患者,在出血早期采用微创穿刺血肿清除术治疗,观察术后血肿残留、格拉斯哥预后评分(GOS)。结果:微创穿刺术对血肿清除效果显著,术后3 d血肿残留量≤40%9例;术后7 d血肿残留量≤40%者10例。术后28 d进行GOS评定以判定近期疗效,结果显示死亡4例、长期昏迷2例、重度残疾5例、中度残疾5例。结论:高血压性基底节脑出血,早期通过微创穿刺术进行血肿引流清除,安全、有效,能改善预后。Objective：To observe the clinical effects of the application of minimal invasive puncture in hypertensive ganglionic hemon＇hage. Methods： 16 patients with hypertensive ganglionic hemorrhage were treated with minimal invasive puncture in the early stage of hemorrhage in Guangzhou Red Cross Hospital from Nov 2010 to May 2011. The residual hematoma and the Glasgow Outcome Score （GOS） were observed after operation. Results： The minimal invasive puncture can clear the hemorrhage effectively ,3 days after operation, the residual hematoma of 9 cases was less than 40% ;7 days after operation, there were 10 patients whose residual hema toma was less than 40% . The evaluation of the short-term effectiveness by the Glasgow Outcome Score （ GOS ） was carried out 28 days after operation, the results showed 4 cases of death, 2 coma, 5 severe disability and 5 moderate disability. Conclusion： For patient with hypertensive ganglionic hemorrhage, it is safe and effective to treat the hematoma with minimal invasive puncture in the early stage,and it helps to improve prognosis.

关 键 词：高血压 脑出血 神经外科手术 

分 类 号：R651.1[医药卫生—外科学]