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早期微创手术治疗高血压性脑出血
引用本文:刘爱华,黄玮,谭源福,杨雷霆,张超元,吴中学.早期微创手术治疗高血压性脑出血[J].中华急诊医学杂志,2006,15(3):249-251.
作者姓名:刘爱华  黄玮  谭源福  杨雷霆  张超元  吴中学
作者单位:100050,北京,首都医科大学北京市神经外科研究所、中国医学科学院神经科学研究所;广西医科大学一附院神经外科
摘    要:目的探讨微创颅内血肿清除术治疗高血压性脑出血(HIH)的疗效与手术时机。方法回顾性分析140例采用微创颅内血肿清除术治疗或者单纯内科保守治疗的高血压性脑出血患者。结果微创颅内血肿清除术治疗组病死率为14.3%,单纯内科保守治疗对照组病死率为34.3%。术后6个月随访,治疗组生存良好率为80%,对照组生存良好率为52%。结论微创颅内血肿清除术疗效好于单纯内科保守治疗,发病后6~48h是较好的手术时机。

关 键 词:高血压性脑出血(HIH)  微创手术  疗效
收稿时间:2005-11-13
修稿时间:2005年11月13

Early-stage mini- traumatic operation in treatment of hypertensive intracerebral hemorrhage (HIA)
LIU Ai'hua,HUANG Wei,TAN Yuanfu,YANG Leiting,ZHANG Chaoyuan,WU Zhongxue.Early-stage mini- traumatic operation in treatment of hypertensive intracerebral hemorrhage (HIA)[J].Chinese Journal of Emergency Medicine,2006,15(3):249-251.
Authors:LIU Ai'hua  HUANG Wei  TAN Yuanfu  YANG Leiting  ZHANG Chaoyuan  WU Zhongxue
Institution:Beijing Neurosurgical Institute, Beijing 100050, China
Abstract:Objective To explore the effects of mini-traumatic operation in treatment of HIH. Methods A retrospective analysis of 140 patients with HIH was carried out,who were treated with mini-traumatic operation or only medicine.Results The mortality in operation group was 14.3%,and in medicine group was 34.3%.80% patients in operation group recovered well,and 52% patients in medicine group recovered well.Conclusion Mini-traumatic operation is more effective than only treated with medicine.Six to 48 hours after onset is a good period for mini-traumatic operation.
Keywords:Hypertension intracerebral hemorrhage(HIH)  Mini-traumatic surgical treatment  Curative effect
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