特殊类型基底节区高血压脑出血的治疗  

Management for the treatment of hypertensive intracerebral hemorrhage in special forms

作　　者：孔成[1] 黄礼明[2] 吴旭[2] 卢刚[2] 

机构地区：[1]浙江省磐安县人民医院神经外科,浙江磐安322300 [2]浙江省人民医院神经外科,浙江杭州310014

出　　处：《中国医药科学》2013年第4期188-190,共3页China Medicine And Pharmacy

摘　　要：目的探讨特殊类型基底节区高血压脑出血的个体化治疗方案及其预后。方法分析总结2008年6月～2011年11月收治的5例双侧基底节区高血压脑出血和2例基底节区高血压脑出血伴对侧脑梗死病例的临床资料。结果 7例入院时脑出血意识分级均为4级;治疗后日常生活能力分级法评定:Ⅲ级(生活部分自理)2例,Ⅳ级(卧床但有意识)2例,Ⅴ级(植物生存)2例;1例住院治疗后3个月自动出院。结论根据特殊类型基底节区高血压脑出血的类型、部位以及患者的意识状态和神经功能缺失程度制定个体化的治疗方案,对基底节部位的脑出血尽可能采用保守治疗或微创手术治疗的方法以保全患者尚未缺失的神经功能是决定预后的关键。Objective To explore the individual management and its efficacy in the treatment of hypertensive intraeerebral hemorrhage in basal ganglia region with special forms. Methods The clinical data of 5 patients with hypertensi＇qe intracerebral hemorrhage in bilateral basal ganglia region and 2 cases of hypertensive iutracerebral hemorrhage in ganglia region with onset of intracerebral infarction in contralateral side between June 2008 and November 2011 were collected and analyzed. Results Consciousness grading scale for intracerebral hemorrhage was grade 4 in all 7 cases assessed and the grading scale for ability of daily life after treatment was grade Ⅲ in 2 patients, grade IV in 2 patients and grade V in the other 2 cases. One patient was ceased hospitalization and discharged 3 months later after administration. Conclusion It is the most important objective to preservation of residual neurological function by using minimal invasive surgery or controversy therapy to deal with intracerebral hemorrhage in ganglia region. It may improve their prognosis to treat the patient based on the hemorrhage size and location, consciousness and neurological deficiency individually.

关 键 词：基底节区 高血压 脑出血 脑梗死 

分 类 号：R743.2[医药卫生—神经病学与精神病学]