【摘要】 目的研究高血压性进展性脑出血的手术治疗。方法通过 CT 导向立体定向抽吸和开颅血肿清除治疗25例进展性高血压脑出血,血肿位于壳核15例,丘脑9例,皮层下1例;立体定向抽吸治疗16例,其中2例抽吸后再出血行开颅手术,开颅血肿清除术9例。结果存活15例,死亡10例。进展性高血压脑出血有快速扩展和迟发再出血二种类型。结论快速进展性高血压脑出血在早期行立体定向抽吸术较开颅手术容易并发再出血迟发再出血早期行立体定抽吸术是安全和有效的。更多还原

【Abstract】 Aim Study of surgical managment in progressive hypertensive cerebral hemorrhage. Methods There were 9 females and 16 males,aged from 43 to 87 years(average 61.5 yrs old)putamen in 15 cases,thalamus in 9,subcortex in 1.CT-guided stereotactic aspiration(SA)was performed in 16(2 cases were craniotomy again),craniotomy in 9.Re- sults 10 patients died and 15 survived.Progressive hypertensive intracerebral homarrhage is ciassfied in- to rapid expansion and delayed rehemorrage.Con- clusion Early stereotactie evacuation in patients with rapid expansive hemorrhage is more risky for re- hamorrhage.For delayed rehemorrhage,early CT- guided stereotactic evacuation can be carried out safe- ly and effectively.更多还原