【摘要】 目的探讨高血压脑出血的治疗方法、手术时机,旨在提高治愈率,减少死亡和致残率。方法对76例高血压脑出血行超早期钻孔抽吸置管引流并尿激酶注射治疗,观察其术后疗效。结果76例通过此法治疗死亡5例,三月随访生活自理39例,部分自理需人帮助18例,卧床意识清楚8例,2例植物生存。结论此法简单、安全、易操作,无绝对禁忌,无需全麻,不用输血,省费用,手术时间短,和开颅清除血肿比,患者及家属易接受。更多还原

【Abstract】 Objective To explore the strategy and operation juncture for hypertensive intracerebral hemorrhage, to increase the cured rate and to reduce the mortality rate and complications at ultra-early stage.Methods Seventy-six patients with hypertensive intracerebral hemorrhage were surgically treated with drilling-drainage and urokinase-injection, the efficacy were evaluated in three months.Results 39 cases could take care of themselves, 18 cases could partly take care of themselves, 8 cases lain in bed with clear consciousness, 2 cases were persistent vegetative status and 5 cases were dead. Conclusion This method was proved simple, safe, easy to be performed, and had no absolute contraindications, no use to general anesthesia, and no need to blood transfusion. It was cheap and quick, and is easier to be accepted compared to intracerebral hematon clearance.更多还原