150例高血压脑出血患者手术治疗分析

目的：分析高血压脑出血手术治疗的疗效。方法：利用150例高血压脑出血手术治疗患者资料,其中开颅血肿清除术加去骨瓣减压术25例,直切口小骨窗开颅血肿清除术26例,微创血肿引流术99例。观察比较3组患者GCS评分,出血量和手术时机的关联。结果：患者GCS评分越高和血肿量较小者预后较好,患者24 h后手术预后比在6h内及6～24 h内手术差。结论：不同的血肿量决定了患者的不同预后,不同的手术方法对预后无显著性差异,超早期或早期手术能降低病死率,提高手术疗效。

The 150 patients study on surgery treatment for hypertensive intracerebral hemorrhage

Objective： To analyze the effect of surgical treatment for patients with hypertensive intracerebral hemorrhage.Methods： 150 HICH patients treated by surgery were analyzed.Among these cases,25 patients were treated with hematoma evacuation plus decompresive craniectomy,another 26 cases with craniotomy and hematoma evacuation and the other 99 with burr hole evacuation and drainage.Data of these patients such as GCS score,hematoma volume and operative opportunity were analyzed.Results： Higher GCS score,smaller hematoma volume,and earlier surgical intervention were good predictors of outcome.Conclusion： For HICH patients with high GCS score and small hematoma volume early surgery can achieve good outcome,no matter what kind of surgical method is performed.