高血压小脑出血的外科治疗临床分析  

Clinical analysis of surgical treatment of hypertensive cerebellar hemorrhage

作　　者：张秀斌 ZHANG Xiubin(Jinzhong Hospital of Traditional Chinese Medicine,Jinzhong 030600,China)

机构地区：[1]晋中市中医院,山西晋中030600

出　　处：《中国实用神经疾病杂志》2020年第12期1082-1085,共4页Chinese Journal of Practical Nervous Diseases

摘　　要：目的总结显微外科手术治疗高血压小脑出血的临床效果。方法回顾性分析26例高血压小脑出血患者显微外科手术治疗的临床资料。所有患者根据血肿部位、出血量、脑室状态及脑干受压等采用不同的手术方式治疗,术后按照GOS标准评判预后。结果本组患者存活21例,其中恢复良好13例,中残5例,重残3例;植物生存状态1例,死亡2例,放弃治疗2例。结论对于高血压小脑出血患者,主张早期积极显微手术治疗;根据不同出血类型采用不同的手术方式,可有效改善患者预后。Objective To summarize the clinical effect of microsurgery on hypertensive cerebellar hemorrhage.Methods The clinical data of 26 patients with hypertensive cerebellar hemorrhage treated with microsurgery were retrospectively analyzed.All patients were treated with different surgical methods according to hematoma location,hemorrhage volume,ventricular state,and brainstem compression,etc.The prognosis was evaluated according to GOS criteria after surgery.Results Of the 26 patients,21 patients survived,including 13 patients recovered well,5 patients with moderate disability,and 3 patients with severe disability;1 patient with plant survived,2 patients died,and 2 patients abandoned treatment.Conclusion For patients with hypertensive cerebellar hemorrhage,early active microsurgical treatment is advocated;according to different types of bleeding,different surgical methods can effectively improve the prognosis of patients.

关 键 词：高血压 小脑出血 早期 显微外科手术 手术方式 

分 类 号：R743.34[医药卫生—神经病学与精神病学]