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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

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【作者】 黄伟年张海江罗富华陈弼政赵丁丁吴秋涛

【Author】 HUANG Weinian,ZHANG Haijiang,LUO Fuhua,CHEN Bizheng,ZHAO Dingding,WU Qiutao Department of Neurosurgery,Tangxia People’s Hospital of Dongguan City,Guangdong Province,Dongguan 523721,China

【机构】 广东省东莞市塘厦人民医院神经外科

【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.

  • 【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
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