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高血压脑出血的超早期微创治疗
引用本文:周怡兴,苏亿年,李展鹏,高忠恩,何炳辉. 高血压脑出血的超早期微创治疗[J]. 中华神经医学杂志, 2003, 2(6): 436-437
作者姓名:周怡兴  苏亿年  李展鹏  高忠恩  何炳辉
作者单位:广东省肇庆市第一人民医院,广东,肇庆,526021
摘    要:目的:探讨高血压脑出血的手术方式、手术时机对该疾病疗效产生的影响。方法:对23例高血压脑出血病人采取超早期小骨窗开颅最微镜下清除血肿,观察疗效。结果:远期ADL1~3级73.9%,死亡率8.7%。结论:小骨窗开颅显微镜下清除高血压脑出血创伤小,某些相对手术禁忌病人可以耐受手术。超早期手术是提高治愈率、降低致残率和死亡率的关键措施。

关 键 词:高血压 脑出血 微创手术 治疗 血肿
文章编号:1671-8925(2003)06-436-02
修稿时间:2003-08-12

Super-early minimally invasive treatment of hypertensive cerebral hemorrhage
ZHOU Yixing,SU Yinian,LI Zhanpeng,GAO Zhongen,HE Binghui First People' s Hospital of Zhaoqing,Zhaoqing ,China. Super-early minimally invasive treatment of hypertensive cerebral hemorrhage[J]. Chinese Journal of Neuromedicine, 2003, 2(6): 436-437
Authors:ZHOU Yixing  SU Yinian  LI Zhanpeng  GAO Zhongen  HE Binghui First People' s Hospital of Zhaoqing  Zhaoqing   China
Affiliation:ZHOU Yixing,SU Yinian,LI Zhanpeng,GAO Zhongen,HE Binghui First People' s Hospital of Zhaoqing,Zhaoqing 526021,China
Abstract:Objective To study on the mode, time and effects of operation for hypertensive cerebral hemorrhage. Methods The hematomas were evacuated under microscope through a small skull window in 23 patients with hypertensive cerebral hemorrhage who were observed for curative effects. Results Late ADL1~3 was 73.9 % and the death rate 8.7 %. Conclusion Such a small skull window for evacuating hematoma will be helpful for promoting the operative tolerance of the patients with relative contraindications. The super-early operation is the key to improve curative ratio, reduce disabling rate and fatality rate.
Keywords:hypertensive cerebral hemorrhage  minimally invasive  super-early
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