【摘要】 目的:探讨微创小骨窗开颅血肿清除术治疗高血压脑出血的效果。方法:将32例入院的高血压脑出血病例在头颅CT片指导下,行颞部直切口,小骨窗约3cm×3cm,直视下清除血肿,活动性出血以电凝止血。结果:28例中,18例完全恢复,生活半自理5例,偏瘫3例,无植物生存,死亡2例,死亡率10.7%。结论:应用超早期小骨窗开颅治疗高血压脑出血,既有简便,直接,微创和有效等优点,是比较理想的治疗高血压脑出血的措施。更多还原

【Abstract】 Objective: To explore the effects of minilally invasive operation (small bone window penestration in super early stage) on hypertensive cerebral hemorrhage. Method: Directed by the patient’s skull CT. 32 cases are operated on using the minimal invasive operation with incisions measuring,The bone window was only 3.0×3.0cm .the hematoma was sucked out liquid direct vision and active bleeding was theated whih electric coagulation. Result: Among the 28 cases,2 cases died,and the death rate was 10.7%,18 cases completely recovered and 5 cases were semrself-cared .3 cases were in hemiplegia ,and no patient was in persistent vegetative state. Conclusion: The treatment of hypertensive cerebral hemorrhage by the small bone window in super early stage is simple , convenient ,direct ,miniwounded ,effective,This is an ideal curement for hypertensive cerebrel hemorrhage.更多还原