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小骨窗开颅并侧脑室引流治疗高血压脑出血并脑室铸型
引用本文:曹勇,孟阳,刘刚强,苑亚东,冯金勇.小骨窗开颅并侧脑室引流治疗高血压脑出血并脑室铸型[J].临床军医杂志,2012,40(1):33-35.
作者姓名:曹勇  孟阳  刘刚强  苑亚东  冯金勇
作者单位:武警河南总队医院神经外科,河南 郑州,450052
摘    要:目的总结高血压脑出血合并脑室铸型的手术治疗经验。方法对75例高血压脑出血合并脑室铸型患者行小骨窗开颅合并单侧或双侧侧脑室额角置管外引流手术。结果术后6个月随访,死亡21例;存活54例,其中ADLⅠ~Ⅱ级8例、Ⅲ级10例、Ⅳ~Ⅴ级36例。结论高血压脑出血合并脑室铸型患者行小骨窗开颅合并侧脑室外引流手术可获得良好治疗效果。

关 键 词:脑出血  脑室铸型  小骨窗开颅  脑室引流

Small bone window craniotomy combined with ventricular drainage for treatment of hypertensive cerebral hemorrhage and interventricular hemorrhage cast
Cao Yong , Meng Yang , Liu Gang-qiang , Yuan Ya-dong , Feng Jin-yong.Small bone window craniotomy combined with ventricular drainage for treatment of hypertensive cerebral hemorrhage and interventricular hemorrhage cast[J].Clinical Journal of Medical Officer,2012,40(1):33-35.
Authors:Cao Yong  Meng Yang  Liu Gang-qiang  Yuan Ya-dong  Feng Jin-yong
Institution:(Department of Neurosurgery,Henan Corps Hospital of Armed Police Forces,Zhengzhou Henan 450052,China)
Abstract:Objective To summarize the surgery therapeutic experience of hypertensive cerebral and intraventricular hemorrhage cast.Methods By small bone window craniotomy and draining operation in single or hibateral cornu frontale ventriculi lateralis,75 patients with hypertensive cerebral and intraventricular hemorrhage cast received treatment.Results All the patients were followed-up for 6 months,21 patients died,among the 54 survived,8 had ADL gradeⅠ-Ⅱ,10 had ADL grade Ⅲ,and 36 had ADL gradeⅣ-Ⅴ.Conclusion Small bone window craniotomy and draining operation in single or hibateral cornu frontale ventriculi lateralis for treatment of hypertensive cerebral intraventricular hemorrhage cast may serve as a safe and effective surgical method.
Keywords:cerebral hemorrhage  interventricular hemorrhage cast  small bone window craniotomy  ventricular drainage
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