| 微创定向置软管治疗重症高血压性脑出血的方法及临床效果分析 |
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| 引用本文： | 汪健,彭勃,邓晓玲.微创定向置软管治疗重症高血压性脑出血的方法及临床效果分析[J].中国全科医学,2011,14(9). |
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| 作者姓名： | 汪健 彭勃 邓晓玲 |
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| 作者单位： | 湖北医药学院附属人民医院神经内科,湖北省十堰市,442000 |
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| 摘 要： | 目的 探讨微创定向置软管引流术救治重症高血压性脑出血的方法、临床效果及意义.方法 回顾分析近3年来在我科住院的重症高血压性脑出血患者106例,其中内科保守治疗44例(保守治疗组),微创治疗62例(微创治疗组),比较两组患者的近期(1个月)和远期(6个月)治疗效果.结果 治疗后1个月,微创治疗组62例患者中优11例,良21例,重度病残16例,植物生存状态0例,死亡14例;内科保守治疗组44例患者中优2例,良5例,重度病残10例,植物生存状态2例,死亡25例;两组患者的近期疗效间差异有统计学意义(u＝4.213,P＜0.01).治疗后6个月,微创治疗组48例患者中失访4例,治愈7例,良好27例,病残6例,死亡4例;内科保守治疗组19例患者中失访3例,治愈3例,良好4例,病残7例,死亡2例,两组患者的远期疗效间差异有统计学意义(u＝2.145,P＜0.05 ).结论 与内科保守治疗相比,微创定向置软管引流术能明显改善重症高血压性脑出血患者的神经功能缺损,提高患者日常生活能力,并显著降低了患者的病死率.
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| 关 键 词： | 颅内出血 高血压性 外科手术 微创性 引流术 治疗结果 |
Clinical Effects of Minimally Invasive Directed Tube Set on Severe Hypertensive Cerebral Hemorrhage |
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| WANG Jian,PENG Bo,DENG Xiao-ling.Clinical Effects of Minimally Invasive Directed Tube Set on Severe Hypertensive Cerebral Hemorrhage[J].Chinese General Practice,2011,14(9). |
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| Authors: | WANG Jian PENG Bo DENG Xiao-ling |
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| Abstract: | Objective To explore the methods of minimally invasive directed tube set in treatment of severe hypertensive cerebral hemorrhage and its clinical effects and significance. Methods Clinical data of 106 patients with severe hypertensive cerebral hemorrhage admitted to our department in recent 3 years were analyzed retrospectively.The patients were divided into groups A(n=44,receiving conservative medical treatment) and B(n=62,receiving minimally invasive treatment).Short-term(1 month) and long-term(6 months) ... |
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| Keywords: | Intracranial hemorrhage hypertensive Surgical procedures minimally invasive Drainage Treatment outcome |
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