CT引导下钻孔徒手穿刺治疗高血压脑出血48例分析  

Puncture by free-hand under the guidance of CT against hypertensive intracerebral hemorrhage

作　　者：陈小华[1] 何锦[1] 梁庆新[1] 梁伟东[1] 

机构地区：[1]广东佛山市中医院,佛山528000

出　　处：《河南实用神经疾病杂志》2003年第4期4-6,共3页Henan Journal of Practical Nervous Diseases

摘　　要：目的 分析高血压脑出血手术治疗的疗效。方法 回顾1999-01～2002-01,48例高血压脑出血患者在CT引导下钻孔徒手穿刺血肿腔进行抽吸,均一次性清除血肿量达60％～90％。结果 48例患者中,基本治愈12例,显著进步14例,进步9例(有效率72.9％),重残5例(10.5％),死亡8例(16.6％)。结论 手术时机适当,早期清除血肿,解除脑组织受压是手术成功的关键,而选择适当的手术方式是提高生存率、降低死亡率及致残率的良好方法。Objective To analyze the therapeutic effect of operation treatment against hypertensive intracerebral hematoma.Methods Review 48 cases in which patients suffering from hypertensive intracerebral hemorrhage accept suction treatment of puncture by free - hand under the guidance of CT into the hematoma cavity, with once evacuation of hematoma of 60 ~ 90% . Results Among the 48 cases, 12 cases were cured basically, 14 cases had significant progress,9 cases had progress (effective rate of 72.89%) ,5 cases had severe disability(10.41%) and 8 cases were dead (17.7%). Conclusion It is the key to choose the proper moment for operation to evacuate hemotoma at early stage and release the pressure of intracerebral tissue. Choosing a proper operation is a good way to improve the survival rate and reduce the death rate and disability rate.

关 键 词：高血压脑出血 CT引导 徒手穿刺 治疗 血肿清除 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R651.12[医药卫生—临床医学]