| 高血压脑出血手术治疗时机的比较研究 |
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| 引用本文： | 李和,彭华,周世军.高血压脑出血手术治疗时机的比较研究[J].泸州医学院学报,2008,31(4). |
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| 作者姓名： | 李和 彭华 周世军 |
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| 作者单位： | 宜宾市第二人民医院神经外科,四川宜宾,644000 |
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| 摘 要： | 目的:探讨高血压脑出血开窗手术时机的选择及疗效分析.方法:回顾分析65例基底节区脑出血患者(出血量30～70ml)为研究对象,按手术实施时间分为3组:A组7小时以内手术者22例(超早期组);B组7～24小时以内手术者23例(早期组);C组24-48小时手术者20例(延期组).均行开窗微创血肿清除术,比较3组出院时按GOS评分,对比疗效.结果:按GOS评分A组Ⅰ级1例占4%,Ⅲ级2例占10%,Ⅳ～Ⅴ级19例占86%,发生再出血3例.B组Ⅰ级2例占7%,Ⅲ级7例占30%,Ⅳ～Ⅴ级14例占63%,再出血2例.C组Ⅰ级6例占30%,Ⅱ级1例5%,Ⅲ级5例占25%,Ⅳ～Ⅴ级8例占40%.三者之间有差异有统计学意义(P<0.001).结论:超早期手术可提高高血压脑出血患者的生存质量,降低病死率和致残率.
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| 关 键 词： | 高血压脑出血 开窗血肿清除 手术时机 疗效 |
THE TIMING OF SURGICAL TREATMENT FOR HYPERTENSIVE INTRACEREBRAL HEMORRHAGE |
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| Li He,et al.THE TIMING OF SURGICAL TREATMENT FOR HYPERTENSIVE INTRACEREBRAL HEMORRHAGE[J].Journal of Luzhou Medical College,2008,31(4). |
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| Authors: | Li He |
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| Institution: | Li He,et al Department of Neurosurgery,the Second People\'s Hospital of Yibin City |
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| Abstract: | Objective: To investigate retrospectively the timing of hematoma evacuation for hypertensive intracerebral hemorrhage and its therapeutic efficacy.Methods:65patients with basal ganglia hemorrhage were divided into 3 groups based on the time of surgery after the onset: group A,22 cases,B,23 cases,and C,20 cases,received operation within 7h,between 7~24h,and between 24~48h respectively.All patients underwent minimal invasive surgery for hematoma evacuation,and their outcomes were evaluated by Glasgow Outcome ... |
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| Keywords: | Hypertensive intracerebral hemorrhage Hematoma evacuation The timing of surgery Therapeutic efficacy |
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