| 额颞大骨瓣减压术在高血压基底节区脑出血合并脑疝中的应用 |
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| 引用本文： | 刘龙生,黄昌尧. 额颞大骨瓣减压术在高血压基底节区脑出血合并脑疝中的应用[J]. 中国现代医生, 2013, 0(18): 156-157,160 |
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| 作者姓名： | 刘龙生 黄昌尧 |
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| 作者单位： | 贵州省黔西南州人民医院神经外科,贵州兴义562400 |
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| 摘 要： | 目的探讨额颞大骨瓣减压术治疗高血压基底节区脑出血合并脑疝的效果。方法回顾性分析36例行开颅血肿清除＋去额颞大骨瓣减压术治疗高血压基底节区脑出血合并脑疝的患者，按ADL（日常生活能力）分级评价手术疗效。结果术后3个月内死亡3例，其余患者ADL分级：Ⅰ级3例、Ⅱ级8例、Ⅲ级12例、Ⅳ级7例、Ⅴ级3例。结论额颞大骨瓣减压术是治疗高血压基底节区脑出血合并脑疝的有效方法。
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| 关 键 词： | 高血压脑出血 脑疝 额颞大骨瓣减压术 |
Frontotemporal craniectomy in application with brain herniation in pa- tients with hypertensive cerebral hemorrhage in basal ganglia |
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| LIU Longsheng,HUANG Changyao. Frontotemporal craniectomy in application with brain herniation in pa- tients with hypertensive cerebral hemorrhage in basal ganglia[J]. , 2013, 0(18): 156-157,160 |
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| Authors: | LIU Longsheng HUANG Changyao |
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| Affiliation: | ( Department of Neurosurgery, Qianxi＇nan Prefecture People＇s Hospital in Guizhou Province, Xingyi 562400, China) |
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| Abstract: | Objective To explore the effect of frontal-temporal decompressive craniectomy in hypertensive intracerebral hemorrhage with cerebral hernia. Methods In this retrospective study, operation curative effect observation was made according to ADL （ability of daily life） classification method. In 36 cases of hypertensive cerebral hemorrhage complicated with brain hernia patients underwent eraniotomy hematoma removal and decompressive craniectomy for the treatment. Results In 3 months 3 cases died after operation; ADL grade： 3 cases in grade Ⅰ , 8 cases in grade Ⅱ, 12 cases in grade Ⅲ, 7 cases in grade Ⅳ, 3 cases of grade Ⅴ. Conclusion Frontotemporal decompressive craniotomy in treatment of hypertensive cerebral hemorrhage complicated with brain hernia is effective method. |
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| Keywords: | Hypertensive intracerebral hemorrhage Cerebral hernia Frontal-temporal decompressive craniectomy |
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