【摘要】 目的:探讨高血压基底节区脑出血的显微外科治疗及术后颅内压的变化关系。方法:对66例高血压基底节区脑出血患者早期显微外科手术治疗,根据术后CT复查分为血肿清除组和再出血组,对两组颅内压进行比较。结果:术后1周颅内压在第3、5天时最高,血肿清除组颅内压明显低于再出血组。结论:高血压基底节区脑出血术后再出血是致死的重要原因,血肿清除组颅内压明显低于再出血组。更多还原

【Abstract】 Objective To study the microneurosurgery of hypertensive intracerebral hemorrhage in basal ganglia and intracranial pressure changes after operation.Method 66 cases suffered by hypertensive intracerebral hemorrhage in basal ganglia were operated by microneurosurgery early.Patients were divided into hematoma removal and recurrence groups by CT scans after operation,intracranial pressures were compared in these two groups.Results Intracranial pressure got the peak at 3,5 days within a week after operation,hematoma removal group′s intracranial pressure was significantly lower than that of the hematoma recurrence group.Conclusion Rehaemorrhagia is a major cause of death of hypertensive intracerebral hemorrhage of basal ganglia.Hematoma removal group′s intracranial pressure was significantly lower than that of the hematoma recurrence group.更多还原