| 超早期小骨窗手术治疗基底节区脑出血(附43例临床分析) |
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| 引用本文： | 高亚峰,常奎,徐敬斌,张义彪.超早期小骨窗手术治疗基底节区脑出血(附43例临床分析)[J].立体定向和功能性神经外科杂志,2010(1). |
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| 作者姓名： | 高亚峰 常奎 徐敬斌 张义彪 |
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| 作者单位： | 安徽省阜阳市第二人民医院神经外科; |
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| 摘 要： | 目的探讨超早期小骨窗开颅治疗高血压基底节区脑出血的方法和优点。方法回顾性分析43例基底节区脑出血超早期小骨窗开颅治疗的临床资料。结果术后24小时内复查头颅CT,血肿完全清除30例,血肿清除80%以上者13例。存活38例,死亡5例。根据日常生活能力(activities of daily living,ADL)分级,手术后随访3个月以上,38例存活者预后ADLⅠ级3例,Ⅱ级20例,Ⅲ级8例,Ⅳ级4例,Ⅴ级3例。结论超早期小骨窗开颅基底节区脑出血清除术,手术创伤小,时间短,安全有效,并发症少可提高患者生存率和生活质量,是高血压基底节区脑出血较为理想的手术方法。
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| 关 键 词： | 超早期 小骨窗 基底节区脑出血 外科 |
Ultra-early small bone window craniotomy treat basal ganglia hemorrhage(43 cases analysis) |
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| Gao Yafeng Chang Kui,Xu Jingbin,et al.Ultra-early small bone window craniotomy treat basal ganglia hemorrhage(43 cases analysis)[J].Chinese Journal of Stereotactic and Functional Neurosurgery,2010(1). |
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| Authors: | Gao Yafeng Chang Kui Xu Jingbin |
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| Institution: | Gao Yafeng Chang Kui,Xu Jingbin,et al.Department of Neurosurgery,The Second People's Hospital of Fuyang,Fuyang,236015,China |
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| Abstract: | Objective To investigate the methods and benefits of hypertensive basal ganglia hemorrhage treated by ultra-early small bone window craniotomy.Methods The clinical data was analyzed retrospectively of 43 cases of basal ganglia cerebral hemorrhage treated by ultra-early small bone window craniotomy.Results The review of head CT within 24 hours after surgery,30 cases of hematoma completely removed,13 cases of hematoma removal over 80%.38 cases survived and 5 died.According to ADL grade,post-operative follow-u... |
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| Keywords: | Ultra-early Small bone window Basal ganglia hemorrhage Surgery |
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