显微手术治疗高血压小脑出血的效果观察  

To observe the effect of microsurgery on hypertensive cerebral hemorrhage

作　　者：蒋逢春[1] 寇烤 陈永军[1] 孙晓虎[1] 郎勇[1] JIANG Fen-chun;KOU Kao;CHEN Yong-jun;SUN Xiao-hu;LANG Yong(Xuanhan people's hospital neurosurgery,Sichuan Dazhou 636150,China)

机构地区：[1]宣汉县人民医院神经外科,四川达州636150

出　　处：《临床医药文献电子杂志》2018年第3期18-19,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨显微手术治疗高血压小脑出血的临床效果及影响预后的相关因素分析。方法对2015年6月~2016年10月收治的34例高血压小脑出血患者行显微手术治疗的效果及预后情况进行回顾性分析。其中分别行枕下正中入路和旁正中入路显微血肿清除术及侧脑室钻孔引流术。结果术后随访3~6个月,34例高血压小脑出血患者良好率为79.4%,不良率为11.8%,病死率为8.82%,且手术预后与GCS昏迷评分、血肿量、血肿部位、手术时机等因素呈正相关。结论对于符合手术适应证的高血压小脑出血患者,尽早行显微血肿清除手术是提高良好率,改善预后,降低病死率较为有效的方法。Objective To explore the clinical effect of microsurgery treatment of small hypertension cerebral hemorrhage and related factors affecting the prognosis analysis.Methods From June 2015 to October 2016 of 34 cases of hypertension cerebral hemorrhage patients line of microsurgery treatment effect and prognosis were retrospectively analyzed.Which line respectively under the pillow in the middle of the road and beside the middle into the microscopic hematoma removal and lateral ventricle drainage drilling.Results Were followed up for 3~6 months after operation and 34 cases of hypertension cerebral hemorrhage patients good rate was 79.4%,the defective rate was 11.8%,the fatality rate was 8.82%,and the prognosis of surgery and coma GCS score,hematoma volume,hematoma,surgical timing and other factors were positively correlated.Conclusion To conform to the surgical indications of hypertensive cerebral hemorrhage patients,early lines of microscopic hematoma removal surgery is to improve the rate of good,improve prognosis and reduce the case fatality rate is relatively effective method.

关 键 词：高血压 小脑出血 显微手术 效果 预后 

分 类 号：R651.11[医药卫生—外科学]