钻颅碎吸并液化治疗脑出血31例临床疗效分析  

THERAPEUTIC ANALYSIS OF THE TREATMENT OF 31 CASES OF CEREBRAL HEMORRHAGE WITH INTRACRANIAL HEMATOMA GRINDING PUNCTURE NEEDLE AND LIQUEFACTION

作　　者：张在玉 

机构地区：[1]沂水中心医院,山东临沂276400

出　　处：《临沂医学专科学校学报》2002年第3期169-171,共3页Journal of Linyi Medical College

摘　　要：目的　 探讨钻颅碎吸并液化治疗脑出血的临床疗效。方法　 根据头颅CT简易定位后 ,应用YL1型一次性使用颅内血肿粉碎穿刺针钻颅碎吸后 ,用尿激酶反复溶化固态及半固态血肿并引流。结果　31例中生存 2 5例 ,占 80 % ,其中生活能自理者 12例 ,半自理者 10例 ;卧床 3例 ;死亡 7例 ,占 2 2 .6 % ,其中死于再出血 2例 ,死于脑疝 3例 ,严重肺部感染 1例 ,急性肾功能衰竭 1例。并发颅内积气 8例 ,均在血肿腔内或脑室内自行吸收 ,未发生颅内感染。结论　 应用YL1型一次性使用颅内血肿粉碎穿刺针钻颅碎吸并液化能及时有效地清除颅内血肿 ,消除占位效应 ,明显降低病死率。钻颅碎吸术是治疗脑出血的一种有效方法 。Objective To explore the therapeutic effect of using intracranial hematoma grinding puncture needle and liquefaction to treat cerebral hemorrhage.Methods After cerebral location by CT dectection,intracranial hematoma grinding puncture needles were used to absorb the split hematoma and the solid and semislid Hematoma were repeatedly dissolved.Results Of the 31 cases,25 cases (80%) survived,among which 12 cases could live on their own,10 cases still needed some help.3 cases needed bed rest and 7(22.6%) died.2 cases died of re bleeding,3 of cerebral hemia and 1 of pulmonary infections.8 cases suffered from pneumatosis but no intracranial infections occurred in their hematoma cavity and intraventricles.Conclusion Effective and timely clearing of intracranial hematoma,removal of space occupying effect and obvious decrease in death rate can be obtained through intranial hematoma grinding puncture needles and liquefaction.This method deserves to be widely used in local hospitals.

关 键 词：钻颅碎吸 液化治疗 脑出血 临床疗效 

分 类 号：R651.12[医药卫生—外科学]