【摘要】 目的探讨基底节区高血压性脑出血的显微手术治疗。方法回顾性分析经显微手术治疗的57例基底节区高血压性脑出血的临床资料(血肿量50～85mL)。结果死亡7例,另有5例患者因患方原因于手术后10～30d放弃治疗,45例完成治疗的患者,控ADL分级:Ⅰ级16例,Ⅱ级10例,Ⅲ级9例,Ⅳ级4例,Ⅴ级6例。结论基底节区短时间内大量出血的高血压脑出血患者,直切口小骨窗血肿清除术,清除血肿彻底,直视下止血可靠,手术后再出血的发生率低,可有效控制颅内压防治脑疝。更多还原

【Abstract】 【Objective】To determine microsurgery of hypertensive cerebral hemorrhage in the basal ganglia.【Methods】A retrospective analysis was done for clinical data of 57 patients complicating hypertensive cerebral hemorrhage in the basal ganglia region who were treated with microsurgery(hematoma volume of 50-85ML).【Results】7 patients died,5 patients give up the treatment because of themselves reasons in 10-30 days after surgery and 45 patients completed the treatment.ADL classification:Ⅰgrade 16 cases,Ⅱ grade 10 cases,Ⅲ grade 9 cases,Ⅳ grade 4 cases,Ⅴ grade 6 cases.【Conclusion】Straight small incision bone window hematoma for massive basal ganglia area hemorrhage in a short time of patients with hypertensive cerebral hemorrhage,can remove hematoma thoroughly,be reliabie hemostasis under direct vision and the lower incidence of bleeding.It can effectively control the intracraninal pressure and cerebral hernia.更多还原