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血肿微创清除术治疗高血压脑出血的疗效分析
引用本文:施雪英,袁良津,蒋鸣坤,姚正鹏,方毅,周力军,顾尚恒.血肿微创清除术治疗高血压脑出血的疗效分析[J].实用全科医学,2010,8(3):314-315.
作者姓名:施雪英  袁良津  蒋鸣坤  姚正鹏  方毅  周力军  顾尚恒
作者单位:安徽医科大学附属安庆医院神经内科,246003 
摘    要:目的探讨颅内血肿微创清除术治疗高血压脑出血的临床疗效。方法51例脑出血患者,男性36例,女性15例,均有高压病史。基底节区出血45例(28~90ml),皮质下出血6例(25~55ml),其中有11例破入脑室。根据CT定位,应用YL-1型一次性颅内血肿粉碎性穿刺针穿刺抽吸血肿,术后辅以尿激酶纤溶治疗。结果穿刺引流时间18h-5d。51例患者,术后血肿完全清除19例,清除80%以上27例,清除60%~80% 5例。结论颅内血肿微创清除术治疗简单、安全、创伤小,能较快清除血肿,解除占位效应,提高患者生存质量,降低致残率及病死率。

关 键 词:高血压  脑出血  微创

Clinical Application of Minimally Invasive Treatment of Intracranial Hematoma in Hypertensive Cerebral Hemorr-hage
SHI Xue-ying,YUAN Liang-jin,JIANG Ming-kun,et al..Clinical Application of Minimally Invasive Treatment of Intracranial Hematoma in Hypertensive Cerebral Hemorr-hage[J].Applied Journal Of General Practice,2010,8(3):314-315.
Authors:SHI Xue-ying  YUAN Liang-jin  JIANG Ming-kun  
Institution:SHI Xue-ying,YUAN Liang-jin,JIANG Ming-kun,et al.Department of Neurosurgery,Anqing Hospital Affiliated to Anhui Medical University,Anqing 246003,Anhui,China
Abstract:Objective To investigate the clinical effect of minimally invasive removal of hypertensive intracerebral hemorrhage.Methods The group of 51 cases of cerebral hemorrhage patients were male and 36 cases,female 15 cases,have history of hypertension Basal ganglia hemorrhage 45 cases(28-90 ml),subcortical hemorrhage in 6 cases(25-55 ml),of which 11 cases of breaking into the ventricle.The puncture point of all patients were determined by CT scan and a marker was made there.then the skull was drilled with YL-1 ty...
Keywords:Hypertension  Intracerebral hemorrhage  Minimally invasive  
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