高血压脑出血意识状态Ⅲ-Ⅳ级患者的首选术式探讨  

RESEARCH OF THE THE FRIST TECHNIQUE TO TREAT HYPERTENSIVE CEREBRAL HEMORRHAGE PATIENTS IN GRADE Ⅲ～Ⅳ

作　　者：乔建勇[1] 张海军[1] 郭伟伦[1] 

机构地区：[1]河北省承德市中心医院神经外科,河北承德067000

出　　处：《河北医科大学学报》2012年第12期1386-1388,共3页Journal of Hebei Medical University

基　　金：国家"十一五"科技支撑计划项目(2006BA101A13)

摘　　要：目的探讨意识状态Ⅲ～Ⅳ级高血压脑出血患者合理手术方法选择。方法回顾性分析6l例采用小骨窗血肿清除或者去骨瓣减压血肿清除患者的临床资料。结果小骨窗组与去骨瓣组在再出血、颅内感染、肾衰竭发生率以及远期致死率和致残率差异无统计学意义,但是住院费用和术后肺部感染、消化道出血发生率去骨瓣组高于小骨窗组(P<0.05)。结论脑出血意识状态为Ⅲ～Ⅳ级患者应首选小骨窗手术。patients in grade Ⅲ～Ⅳ. Methods Clinical data of 61 patients who were treated by bone window or by decompressive craniotomy to evacuate haematoma were retrospectively analyzed. Results There were no statistical difference in rehaemorrhagia, intracalvarium infection, renal failure incidence rate and long - term disability and lethality between the two groups, but the bone window group was higher than the decompressive craniotomy group at the cost of hospitalization and the incidence rate of pulmonary infection, digestive tract hemorrhage. Conclusion Bone window operation is the first choice for hypertensive cerebral hemorrhage patients in gradeⅢ～Ⅳ.

关 键 词：颅内出血 高血压性 意识 外科手术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]