【摘要】 目的　探讨小骨窗开颅在治疗高血压性脑出血的临床效果。方法　对采用小骨窗开颅 (血肿穿刺引流部分兼行直视下血肿清除术 )治疗 82例高血压脑出血病例进行分析。结果　 3个月后ADL分级 ,ADL -I级 2 0例 ,ADL -II级 2 8例 ,ADL -Ⅲ级 18例 ,ADL -Ⅳ级 4例 ,ADL -V级 3例 ,死亡 9例 ,死亡率 11.0 %。结论　小骨窗开颅术是治疗高血压脑出血良好手术方法之一 ,具有视野清楚、清除血肿彻底、减压快、创伤小等优点更多还原

【Abstract】 Objective To discuss the roles of bur-hole craniotomy in the treatment of hypertentive intracerebral hemorrhage. Methods82 patients treated by burr-hole craniotomy(hematoma drainaged and party need to cleaninged withineyeshot) were analysed.Results Activities of daily living(ADL) after three months was performed to find that 20 case were in ADL-I,28 case ADL-II,18 case ADL-III, 4 case ADL-IV, and 3case ADL-V, 9 case patinents died, with the mortality 11.0 %.Conclusion Burr-hole craniotomy was a deal choise for the patients hypertensive intracerebral hemorrhage,and it has the advantages of clear operting field, enable complete evacuation of hematoma, immediate clecompression ,minimal damage to tisues and so on.更多还原