高龄高血压脑出血的治疗  

Treatment Of Aged HypertensiTe Intracranial Hemorrhage

作　　者：徐屹[1] 孙仁泉[1] 孙永权[1] 赵奇煌[1] 顾征[1] 

机构地区：[1]首都医科大学附属北京朝阳医院神经外科,100020

出　　处：《医学研究通讯》2001年第6期9-13,共5页Bulletin of Medical Research

摘　　要：目的探讨高龄高血压脑出血病人的治疗方法选择及治疗效果。方法对142例高龄高血压脑出血病人按CT片分型,依不同分型分别采取内科(45例)、硬通道微创血肿穿刺术(85例)和硬通道微创侧脑室引流术(17例)的治疗,总结分析了治疗结果。结果 142例病人存活123例(存活率86.6％)。死亡19例(死亡率13.4％),死亡原因主要为神经系统外的伴随疾病及合并症。结论高龄高血压脑出血按CT分型决定治疗方案,强调选择最简单的治疗方法为原则,尽早清除血肿及脑室内残血,提高病人的远期疗效。积极预防及治疗伴随疾病及并发症,提高治愈率,降低死亡率。Objective To probe the selection of treatment for aged hypertensive intracranial hemonhage and its effects. Methods 142 cases with aged hypertensive intracranial hemorrhage were divided into different types by CT films. According to different types, 45 cases were treated with medical therapy, 85 cases with hard tunnel minimal incision perforation and 17 cases with hard tunnel minimal incision ventriculopuncture. The curative effects were summarized and analyzed. Results 123 of 142 cases got alive (livability was 86.6%) . 19 cases died (mortality was 13.4%) . Most of them were died of accompanying diseases and complications. Conclusion The principle of treatment for aged hypertensive intracranial hemonhage is decided as simple as possible according to the different types identified by CT films. Qearing up the hematoma and ventricle blood as early as possible can improve the long - term effect. Prevention and treatment of accompanying diseases and complications is important for imcreasing curative rate and. decreasing mortality.

关 键 词：高龄 高血压脑出血 硬通道微创穿刺术 治疗 

分 类 号：R743.2[医药卫生—神经病学与精神病学]