高压性小脑出血的外科治疗

目的探讨外科手术治疗高压性小脑出血的疗效。方法分别采取单纯后颅凹减压术和后颅凹减压加侧脑室外引流治疗高压性小脑出血。结果28例行单纯后颅凹减压术,9例行后颅凹减压加侧脑室外引流术,血肿清除90%以上30例,70%以上7例,无再出血病例。治愈22例,好转10例,死亡5例。结论小脑出血病情凶险,积极手术可取得良好的治疗效果。

Surgical treatment for hypertensive cerebellar hemorrhage

Objective To study the effects of surgical operation on hypertensive cerebellar hemorrhage.Methods Thirty-seven cases of hypertensive cerebellar hemorrhage were treated with pure suboccipital craniectomy or suboccipital craniectomy plus ventriculodrainage.Results Twenty-eight cases were treated with pure suboccipital craniectomy,nine cases were treated with pure suboccipital craniectomy plus ventriculodrainage.Hemotoma was removed over 90% in 30 cases,over 70% in 7 cases.There was no recurrent hemorrhage.Twenty-two cases were cured,ten cases were improved,five cases died.Conclusion Hypertensive cerebellar hemorrhage changes faster and has emergent state,most of patients have favorable effects as long as aggressive treatment applied.