微创治疗高血压脑出血(附54例疗效分析)

目的　探讨高血压脑出血微创治疗的方法、效果及意识状态、出血量、出血部位、手术时机对疗效的影响。方法　采用YL - 1型颅内血肿粉碎针 ,在局麻下行微创治疗。结果　微创治疗 5 4例 ,存活 4 2例(79 2 % ) ,死亡 12例 (2 1 8% ) ,术后疗效评定有满意的效果。结论　微创治疗高血压脑出血的效果显著 ,术后功能恢复良好。只要争取手术时机 ,合理手术操作 ,积极的术后处理 ,就能进一步提高疗效 ,减少病残率

Curative Effect Analyses of The Microsurgery in Hypertensive Cerebral Hemorrhage

Objective To review the methods, the effects of the microsurgery in hypertensive cerebral hemorrhage, and the influence on curative effect by awareness, hemorrhage volume, hemorrhage location and time of operation. Methods YL-1 intracranial hematoma grind needle is used in microsurgery with local anesthesia. Results The assessment of the curative effect is satisfactory in 54 cases, 42(79.2%) cases of those are survived, 12(21.8%) cases are died. Conclusion This method could reach significant effect.Catching the chance,operation reasonably and good managment after operation could improve the curation effect and reduce the rate of disability.