【摘要】 目的　总结CT导引微创穿刺术治疗高血压脑出血的体会。资料与方法　采用YL -I型一次性颅内血肿粉碎穿刺针 ,在CT导引下行高血压颅内血肿清除术治疗高血压脑出血。结果　 2 4例血肿基本清除 <4天 11例 ,4～ 7天 10例 ,死亡 3例 (占 12 .5 % ) ;死亡 3例中 2例均为内外囊混合型出血量分别为 96ml、77ml并破入双侧脑室 ;1例为外囊型出血 4 7ml发生再出血。生存者住院时间最长 4 7天 ,最短 9天 ,平均 17天。出院后随访观察 ,恢复工作 2例 ,生活良好自理 12例 ,轻度肢体障碍 5例 ,瘫痪 2例。结论　CT导引微创穿刺术治疗高血压脑出血简单易行、安全有效更多还原

【Abstract】 Objective To evaluate the value of CT-guiding stereotactic centesis of cerebral hemorrhage in hypertensive patients. Materials and Methods CT guiding stereotactic centesis was performed to clear out hematoma due to hypertensive cerebral hemorrhage with once use YL-I type puncture needle. Results In 24 cases of hematoma, hematoma was removed completely in 11 cases within 4 days and in 10 within 4 to 7 days, as well as 3 cases were dead. 2 died of mixed internal and extracapsular hemorrhage with 96 ml and 77 ml blood volume respectively, and 1 due to recurred extracapsular hemorrhage of 47 ml. Inpatient periods of survival were longest in 47 days and shortest in 9days with the average 17 days. In followup after discharge, 2 got over to work, 12 lived independently, 5 had mild extremity paralysis and 2 were bedridden and needed assistance. Conclusion CT-guiding microinvasive centesis is a simple, easy and safe method for hypertensive cerebral hemorrhage.更多还原