高血压脑出血超早期微创治疗

目的　讨论高血压脑出血微创治疗时机。方法　总结高血压脑出血后在 6h之内施微创治疗的临床效果 ,其中颅骨钻孔血肿腔引流 38例 ,颅骨钻孔引流术加脑外引流 8例 ,脑室穿刺引流术 3例 ,小骨窗血肿清除术 11例的病人恢复情况。结果　颅骨钻孔血肿腔引流 38例中 ,死亡 3例 ;颅骨钻孔引流 8例中 ,死亡 3例 ;脑室穿刺引流 3例中 ,死亡 1例 ;小骨窗血肿清除术中 11例均存活。结论　超早期微创治疗是治疗高血压脑出血手术的最佳时机 ,对病人疗效及术后康复意义较大。

Micro-invasive Treatment of Hypertension Cerebral Hemorrhage in Early Stage

Objective To discuss the treatment time in early stage of hypertension cerebral hemorrhage. Methods 38 cases of hypertension cerebral hemorrhage patient were analyzed in micro-invasive treatment within 6 h after onset and their recovery. Results 46 cases were taken trepanation and drainage with 6 dead and 3 cases were taken ventriculopuncture with 1 dead. Conclusion The micro-invasive treatment in early stage might be the best chance to cure patient and have good significance in prognosis.