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高血压基底节区出血不同手术方法的比较

Two types of surgical treatments for hypertensive intracerebral hemorrhage in or near by the basal ganglion.

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【作者】 邬建斌； 刘干忠； 杨柄湖；

【Author】 WU Jian-bin~1,LIU Gan-zhong~1,YANG Bing-hu~2.1 Department of Surgery,Huizhou Longmen Hospital,Huizhou Guangdong 516800,China;2 Department of Neurosurgery,Huizhou Municipal Center Hospital,Huizhou Guangdong 516001,China.

【机构】 惠州龙门县人民医院外科； 惠州中心医院神经外科 广东惠州516800； 广东惠州516800； 广东惠州516001；

【摘要】 目的探讨高血压脑出血的两种手术方法。方法选择格拉斯哥预后评分(GOS)在5~12分,原发出血部位均为基底节出血并有严重偏瘫的高血压脑出血病人50例,采取骨瓣开颅、小骨窗开颅两种手术方法。结果1月后GOS在11分以上者39例,3月后GOS在3级以上者为26例,半年后GOS在3级以上者39例,3例死亡。结论小骨窗开颅适用于病情较轻者,骨瓣开颅适用于病情较重者。

【Abstract】 Objective To evaluate the various surgical treatments of hypertensive intracerebral hemorrhage(HIH).Methods 48 patients with HIH which in or near by the basal ganglion were respectively received craniotomy,small window operation combined recombinant streptokinase.Results The GCS was over II in 39 cases and the GOS was over grade 3 in 26 cases in three months.The GOS was over grade 3 in 39 cases in six months.Three cases were dead.Conclusion Small window surgery and sterotactic aspiration should be used in mild cases.Conclusion should be used in the serious patients.

【关键词】 高血压脑出血； 骨瓣开颅术； 小骨窗开颅术；
【Key words】 Hypertensive intracerebral hemorrhage； Craniotomy； Small window；
  • 【文献出处】 临床和实验医学杂志 ,Journal of Clinical and Experimental Medicine , 编辑部邮箱 ,2006年06期
  • 【分类号】R651.11
  • 【下载频次】25
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