高血压脑出血早期手术治疗临床分析

目的 对高血压脑出血早期（发病后24h内手术）手术治疗效果进行探讨。方法 发病后不超过24h的高血压脑出血34例，采取小骨窗开颅血肿清除术，与同期延期（24h后）手术23例、非手术38例进行死亡率和生存质量对比分析。结果 早期手术组死亡6例，死亡率17.6%(6/34)，延期手术组死亡9例，死亡率39.1%(9/23)，非手术组死亡22例，死亡率57.9%(22/38)。早期手术组术后生存质量良好率64.7%(22/34)，延期手术组34.8％（8／23），非手术组18.4%(7/38)。结论 高血压脑出血采取早期手术，快速、简单的手术方式，能降低死亡率，改善生存质量。

Clinical analysis of early operation on hypertensive cerebral hemorrhage

Objective To explore the effects of early operaiton (within 24 hours after onset) on the patients with hypertensive cerebral hemorrhage.Methods 34 patients with hypertensive cerebral hemorrhage were given hematoma evacuation by craniotomy with a small bone flap within 24 hours of bleeding. 23 patients with hypertensive cerebral hemorrhage were performed same operations after 24 hours. 38 patients received conservative therapy. The mortality and quality of lives were compared and evaluated. Results 6 cases died in early operation group, the mortality was 17.6%(6/34); 9 cases died in delayed operation group, the mortality was 39.1%(9/23); 22 cases died in non operation group, the mortality was 57.9%(22/38). The ratios of well living quality were 64.7%(22/34). 34.8%(8/23), and 18.4%(7/38) respectively. Conclusion The early and simple operation on patients with hypertensive cerebral hemorrhage can decrease the mortality and improve the living quality.