微创颅内血肿清除术治疗脑出血40例分析

脑出血是人类主要致死症病之一,死亡率24.5％~84.6％,其治疗分三种,内科保守、外科手术、锥颅血肿抽吸。前二种疗效不理想,手术创伤大,我院自1997年5月应用微创颅内血肿清除术治疗脑出血40例,并经ADL评分,结果死亡4例,死亡率仅10％,ADL评分明显优于内科保守组,残废申明显降低,且血肿于一周内吸收达80％以上,疗效明显,操作方便、安全,为脑出血治疗开辟了新的途径,值得推广应用。

Analysis to cases micro-traumatic evaculation of hematomas caused by cerebral bemorrhage

Cerebral hemorrhage is one of the leading cause to de lath, the morbidity is abuot 24.5% ~ 84.6%. There are three treatments, namely concervative treatment,operation and twits-drill with contions catheter drainage. The first and second are less effective, and the operation has much more injury to the nearly tissues. From May 1997 till now, we treated 40 cases of cerebral hemorrhage by microtraumatic evaculation of cerebral hemotoma,and evaluated by ADL scale, the result is that 4 cases death,the mortality is only 10%, which is much less than the result of Conservative group, and the disability the is lowe remrkbly. With this mechod, about 80% of hematomas were absorbed in a week, and bas good effect. It opens a new way to treat cerebral bemorrbage and because of its easily being operated and safety and if worthwhile being adopted.