【摘要】 目的比较开颅血肿清除并去骨瓣减压和血肿穿刺清除两种术式早期治疗重症高血压脑出血的疗效。方法同期收住的112例重症高血压脑出血患者43例行血肿穿刺引流(引流组),69例行大骨瓣开颅血肿清除并去骨瓣减压(开颅组)。术后分别行临床随访,综合比较其临床疗效、血肿清除率以及病死率。结果开颅组在血肿清除程度、病死率同引流组有显著性差异(P<0.05)。结论在重症高血压脑出血病人的早期手术治疗中,颅血肿清除并去骨瓣减压可作为首先考虑的手术方式。更多还原

【Abstract】 Objective To observe the curative effect of both the decompressive large craniotomy combined with evacuation of the hematoma and craniotomy with intracranial puncture for evacuation of the hematomas at early stage on severe hypertensive intracerebral hemorrhage.Methods Of 112 patients with severe hypertensive intracerebral hemorrhage.43 were treated by intracranial puncture for evacuation of the hematomas and 69 by decompressive large craniotomy combined with evacuation of the hematomas.Following-up was performed after the operation.The curative effect,mortality rate and operative complications were compared between both the groups.Results There was significant difference in the mortality rate and operative complications between both the groups.Conclusion The decompressive large craniotomy combined with evacuation of the hematomas should be first selected for the treatment of severe hypertensive cerebral hemorrhage at early stage.更多还原