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老年人高血压脑出血的外科治疗
引用本文:郑伟明,林岩崇,瞿宣兴,钟鸣. 老年人高血压脑出血的外科治疗[J]. 中国医师进修杂志, 1999, 0(7)
作者姓名:郑伟明  林岩崇  瞿宣兴  钟鸣
作者单位:温州医学院附属第一医院
摘    要:目的:评估老年人高血压脑出血的外科治疗效果,并寻找最佳治疗方案。方法:研究70例老年人高血压脑出血的外科治疗,其中35例行立体定向抽吸术,35例行开颅术。另外70例非手术保守治疗病人作为对照。所有结果经统计学分析。结果:立体定向组和开颅手术组的死亡率低于保守治疗组(P<0.05)。立体定向组和开颅手术组的ADL相近,但高于保守治疗组(P<0.05)。结论:年龄不是决定是否手术的主要指标,手术应是老年人高血压脑出血的重要治疗手段之一。同时还对GCS评分、手术时机、手术方法、出血量、血肿的部位与预后、术后再出血等进行了讨论。

关 键 词:外科治疗  高血压脑出血  老年人

SURGICAL TREATMENT FOR THE ELDER HYPERTENSIVE INTRACEREBRAL HEMORRHAGE
Zheng Weiming,Lin Yanchong,Qu Xuanxing,et al.. SURGICAL TREATMENT FOR THE ELDER HYPERTENSIVE INTRACEREBRAL HEMORRHAGE[J]. Chinese Journal of Postgraduates of Medicine, 1999, 0(7)
Authors:Zheng Weiming  Lin Yanchong  Qu Xuanxing  et al.
Affiliation:Zheng Weiming,Lin Yanchong,Qu Xuanxing,et al.Neurosurgical Department of the First Affiliated Hospital of Wenzhou Medical College.Wenzhou,325000
Abstract:Objective:To evaluate the effect of the surgical therapies for the elder hypertensive intracerebral hemorrhage,and search for the best treatment for it.Method:70 cases of the elder hypertensive intracerebral hemorrhage have been studied,35 of them have been treated by stereotactic operation,35 by craniotomy.another 70 non-operative cases to be contrasted.All results were analyzed with statistical test.Result:Death rate of the stereotactic operation and craniotomy is lower than that of non-operative group (P<0.05).ADL of stereotactic operation is similar to that of craniotomy,which is higher than non-operative group (P<0.05).Conclusion:Age should not be the most important indication for surgical therapy,and operation should be one of the most important treatment for the elder hypertensive intracerebral hemorrhage.The relationship between GCS,time of operation,method of operation,amount of hemorrhage,site of hemorrhage and prognosis,post-operation hemorrhage have also been discused.
Keywords:Surgical therapy Hypertensive intracerebral hemorrhage The elder  
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