【摘要】 目的探讨外科手术在高血压脑出血临床治疗中的作用。方法回顾分析笔者所在医院2006～2008年中47例外科手术治疗的高血压脑出血患者。其中壳核出血21例,脑叶皮质下出血11例,小脑出血8例,单纯脑室内出血4例,丘脑出血2例,桥脑出血1例。根据患者的病情采用了小骨窗开颅血肿清除术25例,微创定向血肿抽吸术7例,骨瓣开颅血肿清除术8例,双侧脑室外引流术7例。结果血肿平均清除率在85%。术后5例患者死亡,植物状态有11例,其余患者意识状态均较手术前改善。随访中28例患者完全或部分恢复功能。结论把握手术的时机和指征,采用合理的手术方法,是治疗高血压脑出血的关键。更多还原

【Abstract】 Objective To discuss the surgical management in the cranial hemorrhage of hypertension patients. Methods To retrospectively analyze 47 cranial hemorrhage patients of hypertension who had were operated from 2006 to 2008.21 patients’ hemorrhage location was in the putamen,11 was in the lobe of subcortex,8 was in the cerebellum,4 was in the intraventricular system,2 was in the thalamencephal,and 1 was in tOhe pons.According to the location of the hemorrhage, we chose 5 way to remove the hematoma.Results The hematoma clearance rate was 85%in average.Excluding 16 patients was dead or vegetative state,all the other patients were recovery.Conclusion Pre-operative planning and propose operation is critical to the surgical treatment of hemorrhage of hypertension.更多还原