幕上脑出血患者钻孔引流和开颅手术选择标准的初步探讨  

A preliminary study on the selection criteria of drainage and craniotomy for patients with supratentorial cerebral hemorrhage

作　　者：乔建勇[1] 王昌盛[1] 武焕颖[1] 韩广明[1] 郭伟伦[1] 

机构地区：[1]河北省承德市中心医院神经外科,067000

出　　处：《中国现代神经疾病杂志》2012年第6期731-735,共5页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：国家"十一五"科技攻关课题基金资助项目(项目编号:2006BA101A13)~~

摘　　要：共288例幕上脑出血患者分别接受钻孔引流术(140例)和血肿清除术(148例)。通过分析术前意识状态分级和出血量与6个月后患者病残率和病死率间的关系,获得钻孔引流术与神经外科手术之间的分界标准,并探讨幕上脑出血患者的合理手术方式。The study involved a total of 288 patients with supratentorial cerebral hemorrhage who were surgically treated. Among them 140 patients underwent trepanation and drainage, and the other 148 patients underwent evacuation of hematoma. Through analyzing Glasgow Coma Scale （GCS） and the volume of hemorrhage before operation and after 6 months were related with the patients disability rate and mortality rate. The delimitation standards of drainage and craniotomy were explored, and the reasonable techniques of supratentorial cerebral hemorrhage were investigated.

关 键 词：脑出血 引流术 神经外科手术 

分 类 号：R651.1[医药卫生—外科学]