【摘要】 目的探讨超早期小骨窗开颅术治疗高血压脑出血的疗效。方法回顾分析36例小骨窗开颅术治疗高血压脑出血的临床资料。结果36例脑出血患者在发病后7h内采用小骨窗开颅术清除血肿,分别于术后1、4、7天复查CT或MRI,血肿清除达70%～80%以上,无1例再出血。根据GOS标准,优5例,良7例,中11例,差4例,死亡9例。结论超早期小骨窗开颅术具有创伤小,手术时间短,止血确实可靠的优点,对于血肿量>30mL,一般情况稳定的患者是较为理想的治疗方式。更多还原

【Abstract】 Objective To explore the curative effects of ultra-early surgery through craniotomy with small bone window for hypertensive cerebral hemorrhage. Methods The intracerebral hematomas were evacuated by surgery through craniotomg with small bone window within 7 hours after the hemorrhage in 36 patients with hypertensive intracerebral hemorrhage (HICH). Results The evacuative rate of hemorrhage than much 70～80% in 36 patients return examinated by CT or MRI at first day,fourth day and seventh day affer operation. According to Glasgow come scale assessmented them were very good(5 cases),bette(r7 cases),middle (11 cases),lesser(4 cases),and death(9 cases). Conclusion This surgery through craniotomy with small bone window for HICH has merits such as minimal operative trauma,short operative time,simple and easy operative technigue,and is good for treating HICH.更多还原