早期治疗重症高血压脑出血26例疗效分析  

Therapeutic efficacy analysis of early treatment on 26 cases of severe hypertensive cerebral hemorrhage

作　　者：李强[1] 高堂忠[1] 

机构地区：[1]解放军第155医院,开封475003

出　　处：《河南实用神经疾病杂志》2001年第1期7-8,共2页Henan Journal of Practical Nervous Diseases

摘　　要：目的 :探讨一种简易有效的治疗重症高血压脑出血的新方法。方法 :采用早期经皮双孔钻颅血肿抽吸 ,尿激酶引流治疗 2 6例重症高血压脑出血。结果 :2 6例患者中存活 2 1例 ,死亡 5例 ,总病死率 19 2 %。结论 :本法简便安全、定位准确 ,可多个变换靶点控制血肿抽吸量。早期进行该手术 ,对防止血肿压迫脑组织的不可逆损害 ,降低病死率 ,提高生存质量都有积极的意义。Objective:To explore a new,simple and effective method on the treatment of severe hypertensive cerebral hemorrhage.Methods:26 cases of severe hypertensive cerebral hemorrhage were dealed with the method of drilling two holes in the skull through skin,drawing out of hematoma and urokinase drainage.Results:Out of 26 patients,21 patients survived,5 patients died,and the total mortality was 19 2 percent.Conclusions:The method is simple and safe,moreover,the drilling site is accurate.To prevent the unreverseable damage of brain tissue oppressed by hematoma,early operation is useful,and it can also reduce mortality,enhance live quality.

关 键 词：尿激酶 血肿抽吸术 重症高血压脑出血 药物治疗 

分 类 号：R544.106[医药卫生—心血管疾病] R743.340.5[医药卫生—内科学]