98例急性多灶性脑出血经软通道多点穿刺的临床治疗体会分析  

98 cases of acute multifocal cerebral hemorrhage by soft channel multi-point puncture Clinical treatment analysis

作　　者：来怡农 庞建军 

机构地区：[1]甘肃省定西市人民医院神经外科,甘肃定西743000

出　　处：《世界最新医学信息文摘》2013年第3期25-25,27,共2页World Latest Medicine Information Electronic Version

摘　　要：目的分析急性多灶性脑出血经软通道多点穿刺的临床治疗体会.方法98例急性脑出血患者应用CT定位经皮肤微创多点穿刺,局部麻醉下,YL-1型粉碎穿刺抽吸颅内血肿并（尿激酶溶解血凝块）冲洗引流.结果施穿刺术后因颅内高压行开颅清除血肿、减压11例.血肿变化不大10例,血肿增大7例,血肿明显减少者53例,血肿基本消失28例,其中再出血8例.98例患者治疗结果按GOS分级：中残40例、重残16例、植物态7例、死亡3例、良好32例.结论采用微创经软通道多点穿刺技术治疗急性脑出血,优点是安全、简便、快速、微创、疗效显著及并发症少等,且要高度重视手术时机、术后再出血处理、前后的血压控制等方面.Objective To study the experience of clinical treatment of soft channel multi-point puncture of acute multifocal cerebral hemorrhage.Methods 98 cases of acute cerebral hemorrhage patients using CT percutaneous minimally invasive multiple puncture,local anesthesia,YL 1 type of intracranial hematoma smash puncture aspiration and（urokinase to dissolve blood clots）irrigation and drainage.Results the puncture after intracranial hypertension underwent craniotomy evacuation of hematoma,decompression in 11 cases.10 cases of hematoma changed little,hematoma enlargement in 7 cases,hematoma was significantly reduced in 53 cases,hematoma disappeared in 28 cases,including 8 cases of hemorrhage.98 patients were treated according to the GOS classification：Disabled in 40 cases,severe disability in 16 cases,7 cases of plant state,died in 3 cases,good in 32 cases.Conclusions：minimally invasive puncture technique by soft passageway in treatment of acute cerebral hemorrhage,has the advantages of safety,simple,rapid,minimally invasive,significant and has less complications,and attach great importance to the operation time,postoperative hemorrhage of blood pressure control before and after the treatment,etc.

关 键 词：急性脑出血 微创穿刺术 临床治疗 

分 类 号：R743.34[医药卫生—神经病学与精神病学]