超早期微创开颅治疗高血压脑出血

目的　进一步提高微创开颅手术治疗高血压脑出血的临床效果。方法　回顾性分析 63例超早期微创开颅手术治疗的高血压脑出血患者的临床资料。结果　 63例中死亡 7例 ,存活 5 6例。术后随访 6～ 2 3个月 ,根据ADL分级法 ,Ⅰ级 10例 ,Ⅱ级 15例 ,Ⅲ级 19例 ,Ⅳ级 9例 ,Ⅴ级 3例。结论　超早期微创开颅治疗高血压脑出血效果令人满意。本术式有以下优点 :①手术创伤小 ;②止血彻底 ;③手术入路解剖结构简单 ,易于为术者掌握

ULTRA-EARLY MICROSURICAL TREATMENT OF HYPERTENSIVE INTRACEREBRAL HEMORRHAGE

Objective: To improve further clinical effects of microsurgical treatment on hypertensive intracerebal Hemorrhage.Methods: The clinical data of 63 patients with hypertensive intracerebal Hemorrhage treated by ultra-early microsurgery were analyzed retrospectively.Results: Of the 63 patients with hypertensive intracerebal Hemorrhage, 7 died, 56 survived. Of the 56 survivals, 10 were in grade 1, 15 in grade 2, 19 in grade 3, 9 ingrade 4 and 3 in grade 5 according ADL grade criterion 6～23 months after the operation.Conclusions: The clinical effect of the operation on the hypertensive intracerebal Hemorrhage is satisfactory. The advantages of the operation are as follows: ①relatively simple anatomic structure of keyhole approach; ②minimal trauma of the operation; ③thorough hemostasia during the operation.