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高血压基底节区出血不同手术方法的比较
引用本文:邬建斌,刘干忠,杨柄湖. 高血压基底节区出血不同手术方法的比较[J]. 临床和实验医学杂志, 2006, 5(6): 703-704
作者姓名:邬建斌  刘干忠  杨柄湖
作者单位:惠州龙门县人民医院外科,广东,惠州,516800;惠州中心医院神经外科,广东,惠州,516001
摘    要:高血压脑出血是神经外科常见的危重急症,死亡率可达30%~40%,即使存活,还有相当一部分病人遗留严重后遗症,是神经内外科医生应迫切解决的问题之一。本文总结了高血压基底节区出血的50例病人,用小骨窗血肿清除术和骨瓣开颅进行外科治疗,就有关高血压脑出血的手术指征、手术方法和

关 键 词:高血压脑出血  骨瓣开颅术  小骨窗开颅术
收稿时间:2006-04-29
修稿时间:2006-04-29

Two types of surgical treatments for hypertensive intracerebral hemorrhage in or near by the basal ganglion
WU Jian-bin,LIU Gan-zhong,YANG Bing-hu. Two types of surgical treatments for hypertensive intracerebral hemorrhage in or near by the basal ganglion[J]. Journal of Clinical and Experimental Medicine, 2006, 5(6): 703-704
Authors:WU Jian-bin  LIU Gan-zhong  YANG Bing-hu
Abstract:Objective To evaluate the various surgical treatments of hypertensive intracerebral hemorrhage(HIH).Methods 48 patients with HIH which in or near by the basal ganglion were respectively received craniotomy,small window operation combined recombinant streptokinase.Results The GCS was over II in 39 cases and the GOS was over grade 3 in 26 cases in three months.The GOS was over grade 3 in 39 cases in six months.Three cases were dead.Conclusion Small window surgery and sterotactic aspiration should be used in mild cases.Conclusion should be used in the serious patients.
Keywords:Hypertensive intracerebral hemorrhage    Craniotomy    Small window   
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