CT定位下锥颅抽吸血肿治疗高血压脑出血  

Treating hypertensive intracerebral hemorrhage by pumping haematoma from vertebrae and skull with CT locating

作　　者：张鸿[1] 王者晋[2] 曹义战[1] 王俊清[3] 

机构地区：[1]第四军医大学唐都医院急诊科 [2]第四军医大学唐都医院神经内科,陕西西安市710038 [3]第四军医大学唐都医院康复科,陕西西安市710038

出　　处：《中国康复理论与实践》2003年第11期690-691,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察在CT简易定位下 ,锥颅抽吸治疗高血压脑出血的疗效。方法在内科治疗基础上 ,对 89例高血压脑出血结合头颅CT定位 ,行锥颅血肿抽吸治疗 ,并与 71例单纯内科保守治疗对照。结果术后 2 0天及 6个月治疗组生存率 死亡率及神经功能恢复均优于对照组 (P <0 0 1)。结论锥颅抽吸血肿是一种简易有效 安全实用的治疗高血压脑出血的手术方法。ObjectiveTo investigate the effect of pumping haematoma from vertebrae and skull with CT locating to treat hypertensive intracerebral hemorrhage.MethodsThe cases were divided into 2 groups:the operation group(89 cases),in which patients were given the approach of pumping haematoma from vertebrae and skull on the basic of internal medical treatment, with the help of head CT locating, and the control group(71 cases),in which the internal medical treatment was used only. ResultsThe survival rate,the death rate,the complications and the nerve function recovery in the operation group after 20 days and 6 months were improved compared with that in the control group(P<0.01).ConclusionThe approach of pumping haematoma from vertebrae and skull is a safe,effective,practical and easy method in treating hypertensive intracerebral hemorrhage.

关 键 词：高血压脑出血 CT 锥颅抽吸术 

分 类 号：R743.2[医药卫生—神经病学与精神病学] R651.1[医药卫生—临床医学]