微创颅内血肿清除术治疗高血压脑出血及其吸出物的病理所见  

Treatment of Hypertension Cerebral Hemorrhage with Micro-wounded Surgery and Pathological Evaluation of Intracranial Hematoma

作　　者：楼小亮[1] 李晓萍[1] 赖水清[1] 石军[2] 马战清[1] 唐浪娟[1] 谭维羚[1] 范华[1] 

机构地区：[1]江西医学院第四附属医院神经科,江西南昌330006 [2]江西医学院第四附属医院病理科,江西南昌330006

出　　处：《江西医学院学报》2002年第2期41-43,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的 :探讨微创颅内血肿清除术在治疗高血压脑出血中的临床意义及脑出血早期病理变化。方法 :采用微创颅内血肿清除术治疗高血压脑出血病人 2 0例 ,并将吸出物中的脑组织碎片进行光镜观察 ,同时设对照组 4 0例 ,观察两组病人出院时的日常生活活动能力。结果治疗组病人全部存活 ,意识清楚 ,日常生活活动能力恢复良好 ,光镜下脑组织中可见大片出血灶和点状出血 ,部分小血管玻璃样变 ,血管周围嗜中性粒细胞渗出。对照组死亡 12例 ,日常生活活动能力恢复较差。结论 :微创颅内血肿清除术是治疗高血压脑出血较为理想的方法 ,它阻断了脑出血后的一系列病理过程。Objective: To evaluete the micro wounded surgery in treating hypertension cerebral hemorrhage and the early pathology changes of cerebral hemorrhage.Methods: 20 cases of hypertension cerebral hemorrhage were operated on with the micro wounded evaluation of intracranial hematoma and the suction brain tissue fragments were observed with photoscope. At the same time, the control group of 40 cases was setted up and the activities of daily living for two groups at leaving hospital were observed. Results: All the patients in treating group survived with clear consciousness and the activities of daily living resumed well. Wide range of hemorrhage could been seen under the photoscope. A part of small blood vessels was hyaline degeneration and neutrophil was exuded around the vessels. 12 patients in control group died and the activities of daily living of others resumed not well.Conclusion: The micro wounded evaluation of intracranial hematoma is a comparatively ideal method in treatment of hypertension cerebral hemorrhage. It can prevent a series of pathology process after cerebral hemorrhage.

关 键 词：颅内血肿 微创清除术 高血压脑出血 病理改变 

分 类 号：R651.15[医药卫生—外科学] R743.2[医药卫生—临床医学]