【摘要】 目的:探讨高血压性脑出血的最佳治疗方式,提高患者存活率,降低致残率。方法:回顾分析110例出血量>20ml的高血压性脑出血(均为半球出血)患者的治疗情况,分别采用保守治疗(A组)和手术治疗(B组),A组采用常规脱水降颅压等治疗方法,B组主要采用去骨瓣开颅血肿清除术方法。结果:出血量<40ml患者两组疗效无明显差别,≥40ml患者B组较A组在治疗半年后,治疗效果具有明显优势。结论:根据病情不同,选择合适的个体化治疗方案,能有效提高患者的生存率和生活质量。更多还原

【Abstract】 Objective:To explore the best treatment of hypertensive cerebral hemorrhage, improve the survival rate of the patients, reduce the rate of disability.Methods:Retrospective analysis of 110 cases of hypertensive cerebral hemorrhage>20ml hemorrhage(both hemispheric hemorrhage) in patients with treatment, they were treated with conservative treatment(group A) and operation therapy(group B), A group with conventional intracranial pressure lowering treatment, B group were treated with bone flap craniotomy method.Results:The efficacy was indifference between the two groups for the patients of hematoma volume<40ml,≥40ml patients group B than group A in half a year after treatment, treatment has obvious advantages.Conclusions:According to different condition, the choice of individual suitable treatment can effectively improve the patients survival rate and life quality.更多还原