高血压脑出血术中行迷走神经减压术的降压研究  

Intracranial vagal neurovascular decompression for acute hypertensive intracerebral hemorrhage

作　　者：孙克华[1] 王伟民[2] 孙康健[1] 华长春[1] 徐善水[3] 郝孔志 巩坚 王友刚 夏志学 乔振才 吴云志[8] 刘华新 赵云飞[10] 杨洪军 申天喜 

机构地区：[1]南京军区南京总医院,江苏南京210002 [2]广州军区广州总医院,广东广州510010 [3]皖南医学院附院,安徽芜湖241000 [4]南京海军四一四医院,江苏南京210000 [5]常州市二院,江苏常州213000 [6]解放军第八二医院,江苏淮安223200 [7]武警扬州医院,江苏扬州225000 [8]南京医科大学第二附属医院,江苏南京210011 [9]解放军第一四九医院,江苏连云港222042 [10]宁国市人民医院,安徽宁国242300 [11]瑞安市红十字医院,浙江瑞安325200 [12]马钢集团公司医院,安徽马鞍山243000

出　　处：《医学研究生学报》2001年第6期492-495,共4页Journal of Medical Postgraduates

摘　　要：目的 :探讨高血压脑出血手术中行颅内迷走神经减压术对患者血压的影响。　方法 :对 2 2例高血压脑出血患者在清除血肿后 ,即刻行迷走神经微血管减压术。　结果 :手术后 7例血压完全正常 ,8例在手术 1周内血压接近正常 ,3例在手术 2周内血压接近正常 ,4例血压无明显改善。　结论 :颅内迷走神经微血管减压可以治疗顽固性高血压 ,避免高血压脑出血术后的再出血 ,减少两次手术和麻醉的影响 。Objectives: To study intracranial vagal neurovascular decompression in the treatments of acute hypertensive intracerebral haemorrhage(HICH) and its effect on the blood pressure. Methods: Intracranial vagal neurovascular decompression was performed after removal of hematomas in 22 cases with acute hypertensive cerebral haemorrhage. Results: Postoperatively, the blood pressure returned to normal in 7 cases, approaching normality a week after operation in 8 cases and two weeks after operation in 3 cases, no obvious changes in 4 cases. Conclusions: Intracranial vagal neurovascular decompression is of benefit in decreasing blood pressure in patients with hypertensive intracerebral haemorrhage. This method might avoid reoperation, anesthesia, and rebleeding postoperatively. It would be a new theory and an effective method for refractory essential hypertension.

关 键 词：高血压脑出血 血肿清除 微血管减压 迷走神经 降压疗效 

分 类 号：R743.34[医药卫生—神经病学与精神病学]