【摘要】 本文对适合手术治疗,CT显示血肿在40ml以上的48例脑出血,在病人年龄、身体一般条件基本相同的条件下随机分为全麻大切口、全麻小切口、局麻小切口三组。对三组手术及术后病人意识恢复、颅内压降低情况、并发症的发生及预后进行分析。我们认为局麻小切口手术对病人负担轻,并发症少,意识恢复较快,能显著降低颅内压力,手术简单快速,是治疗适合手术的脑出血病人的较好方法。更多还原

【Abstract】 A prospective study was made in 48 cases of hypertensive hemorrhage. These patients were divided into 3 groups at random, i. e: group 1 under general anesthesia and conventional craniotomy; group 2 under general anesthesia and small incision exposure and group 3 under local anesthesia and small incision exposure. The patients in these 3 groups all had indications for surgery. The volume of hematomas was over 40ml in CT scanning. The range of ages and general condition were basically similar. Their postoperative conscious state, degree of postoperative intracranial pressure were analyzed and compared. The result indicated that local anesthesia and small incision exposure had the advantage of causing little trouble to patients, less postoperative complications, rapid recovery of consciousness and marked decrease in intracranial pressure. The operation itself was simple and rapid. It was a better method for patients with operative indication of hypertensive hemorrhage.更多还原