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高血压脑出血的超早期小骨窗手术治疗方法探讨
Clinical study of treatment of hypertensive cerebral hemorrhage by ultra-early small bone window craniotomy
【摘要】 目的:探讨小骨窗手术治疗高血压脑出血的方法。方法:对超早期小骨窗手术治疗高血压脑出血47例患者的临床资料进行回顾性分析。结果:生存44例,生存率为93.6%。按ADL分级:Ⅰ级9例(19.1%),Ⅱ级分级25例(53.2%),Ⅲ级6例(12.8%),Ⅳ级3例(6.4%),Ⅴ级1例(2.1%)。结论:超早期手术与微创手术联合应用治疗高血压脑出血,在预防脑的继发损害与脑保护两方面能够获得良好的临床效果,提高治愈率、减少死亡率,是值得推荐的一种方法。
【Abstract】 Objective:To explore the principle and methods of minimally invasive surgery in the treatment of hypertensive intracerebral hemorrhage.Methods:47 cases of hypertensive intracerebral hemorrhage were treated by microsurgery in super early stage.Results:The survival rate was 93.6%.The curative effects were classified by using ADL.There were 9 cases of class Ⅰ(19.1%),25 cases of class Ⅱ(53.2%),6 cases of class Ⅲ(12.8%),3 cases of class Ⅳ(6.4%) and 1 case of classⅤ(2.1%).Conclusion:Surper-early mini-traumatic operation to treat HICH is a way worth to be recommended,it can get quite good clincal effect in both preventing secondary damage and brain’s protecting,which can improve cure rate and reduce mortality rate.
【Key words】 Hypertensive intracerebral hemorrhage; Small bone window; Ultra—early; Surgical treatment;
- 【文献出处】 中国当代医药 ,China Modern Medicine , 编辑部邮箱 ,2011年21期
- 【分类号】R651.1
- 【被引频次】1
- 【下载频次】19