高血压脑出血合并蛛网膜下腔出血的手术治疗探讨 |
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引用本文: | 迟峰,王心杰. 高血压脑出血合并蛛网膜下腔出血的手术治疗探讨[J]. 航空航天医学杂志, 2016, 0(11): 1363-1365. DOI: 10.3969/j.issn.2095-1434.2016.11.014 |
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作者姓名: | 迟峰 王心杰 |
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作者单位: | 大连医科大学附属大连市中心医院,大连,116023 |
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摘 要: | 目的:探讨高血压脑出血合并蛛网膜下腔出血的手术治疗方法及疗效。方法选取2012年10月~2015年10月收治的100例进行急诊手术的高血压脑出血合并蛛网膜下腔出血患者,按照随机数字法分为对照组和研究组,每组50例,对照组患者0.5~3 d内急诊去除血肿,并实施去骨瓣减压,研究组患者在4 h~1 d内实施显微微创神经外科手术治疗和综合治疗。比较两组的治疗效果。结果研究组患者的预后良好率比对照组显著升高(78%:40%),植物生存率与致死率显著降低( P<0.05)。结论显微微创神经外科手术治疗合并综合治疗的改良治疗方法比传统治疗方法效果显著,值得临床推广。
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关 键 词: | 高血压脑出血 蛛网膜下腔出血 手术治疗 |
Surgical Treatment of Hypertensive Cerebral Hemorrhage Complicated with Subarachnoid Hemor-rhage |
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Abstract: | Objective To investigate the effect of surgical treatment of combined subarachnoid hemorrhage of hyper -tensive cerebral hemorrhage .Methods In our hospital from October 2012~2015 year in October 100 cases of emergen-cy surgery for hypertensive cerebral hemorrhage complicated with subarachnoid hemorrhage patients were randomly divid -ed into control group and study group , 50 cases in each group.Patients in the control group 0.5~3D and the implemen-tation of emergency removal of hematoma , decompressive craniectomy , the patients in the study group of 4h~1D in the implementation of minimally invasive Department of Neurosurgery surgery treatment and comprehensive treatment .The efficacy was compared between two groups .Results The good prognosis rate in the study group of patients was signifi-cantly higher than the control group (78%:40%), the survival rate of plants and the death rate was significantly de-creased( P<0.05).Conclusions The modified method of treatment of minimally invasive surgery in Department of Neurosurgery treatment combined with comprehensive treatment than the traditional treatment effect is significant , worthy of promotion. |
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Keywords: | hypertensive cerebral hemorrhage subarachnoid hemorrhage surgical treatment |
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