【摘要】 目的比较分析软通道钻孔置管引流术治疗高血压脑出血临床分析,通过临床表现,以期找到最佳的治疗方案。方法选取2014年12月—2017年12月来该院就诊的高血压脑出血患者为研究对象,筛选后选择72例高血压脑出血患者为研究对象,手术时切开额头的头皮,颅骨钻孔,进行清除血肿。结果患者手术出院后,进行回访调查,根据患者的治疗情况和日常生活能力做评价,Ⅰ级,患者在手术后能够完全自理生活,恢复了正常的生活,没有肢体障碍;Ⅱ型患者术后能够独立生活或者已经部分恢复,但是需要借助外部器械;Ⅲ型患者术后生活需要他人照料和帮助,行走过程存在一定的肢体障碍;Ⅳ型患者术后身体恢复情况不佳,呈植物人状态;V型患者术后死亡。其中痊愈18例,35例患者能够进行生活自理,9例患者出院后卧床不起,生活不能自理,3例患者成植物人,7例患者手术后死亡。结论软通道钻孔置管引流术在治疗高血压脑出血患者上临床效果明显,操作简单,能够较好的清除血肿,降低血管压力,效果较好。更多还原

【Abstract】 Objective The clinical analysis of the treatment of hypertensive intracerebral hemorrhage by soft-channel drilling and tube drainage was performed. The clinical manifestations were sought to find the best treatment plan.Methods The patients with hypertensive intracerebral hemorrhage who visited this hospital from December 2014 to December 2017 were selected as the study subjects. After screening, 72 patients with hypertensive intracerebral hemorrhage were selected as the study subjects. The scalp of the forehead was cut and the skull was drilled and the hematoma was removed. Results After the patient was discharged from the hospital, a return visit was conducted to evaluate the patient’s treatment status and ability to perform daily activities. At grade I, the patient was able to completely self-care after the surgery, and he recovered normal life without physical impairment. The patient with type II can be operated independently, with partial recovery, but need to rely on external devices; type III patients require other people’s care and assistance after the operation, there is a certain physical obstacles during walking; type IV patients have poor physical recovery after surgery, showed a vegetative state; V type patients Death after surgery. Among them,18 cases were cured, and 35 patients were able to take care of themselves. 9 patients were unable to stay in bed after their discharge from hospital and could not take care of themselves. 3 patients became vegetative and 7 patients died after surgery. Conclusion Soft tunnel drilling and drainage tube drainage in the treatment of hypertensive intracerebral hemorrhage in patients with clinical effects, simple operation, can better remove hematoma, reduce vascular pressure,the effect is better.更多还原