CT脑立体定向抽吸手术及保守疗法治疗高血压性脑内血肿后患者CK-BB的动态变化  

The dynamic CPK-BB transformation of hypetension intracerebral hematoma after CT brain stereoscopic orientation suction and conservative therapy.

作　　者：林群力 郑吾最 洪加林 王文林 

机构地区：[1]浙江省永嘉县人民医院,325100

出　　处：《浙江临床医学》2002年第10期737-738,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 观察高血压性脑出血早期CT立体定向血肿抽吸及保守治疗后患者血清肌酸激酶同工酶BB(CK -BB)的动态变化。方法 通过CT脑立体定向抽吸法治疗高血压性脑出血患者29例 ,同期内科保守治疗高血压性脑出血27例。于治疗后第1、3、5、10和20d取血测定不同组别血清CK -BB的变化。结果 抽吸组和保守治疗组治疗前CK -BB值无显著差异(p>0.05)。抽吸组治疗后CK -BB值与治疗前比较有明显下降(p<0.01) ;保守治疗组治疗后CK -BB值虽有所下降 ,但较手术组差。结论 血肿抽吸手术治疗高血压性脑出血疗效优于保守疗法 ;Objective To investigate the ynamic CK-BB transformation of hypetension intracerebral hemorrhage after CT brain stereoscopic orientation suction and conservative therapy. Method 29 hypetension intracerebral hemorrhage underwent CT brain stereoscopic orientation suction, and 27 underwent conservative therapy. Serum CK-BB was assayed on 1,3,5,10 and 20 day after operation. There were no significant difference in CK-BB between suction group and conservative therapy before operation. CK-BB after suction significant descend than that of before operation(p<0.01. CK-BB of conservative therapy descend slower. Conclusion The effect of suction is superior to conservative therapy for hypetension intracerebral hemorrhage, which be early performed.

关 键 词：CT脑立体定向抽吸手术 保守疗法 高血压性脑出血 肌酸激酶同工酶-BB 

分 类 号：R651.11[医药卫生—外科学]