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CT定位微创治疗高血压脑出血
引用本文:吴志峰,何永垣,毛志钢. CT定位微创治疗高血压脑出血[J]. 国际医药卫生导报, 2006, 12(15): 62-64
作者姓名:吴志峰  何永垣  毛志钢
作者单位:广州市番禺区人民医院神经外科,广东,广州,511400;广州市番禺区人民医院神经外科,广东,广州,511400;广州市番禺区人民医院神经外科,广东,广州,511400
摘    要:目的 总结118例高血压基底节区脑出血CT定位微创抽吸术的治疗体会.方法 CT定位,YL-1型颅内血肿穿刺针抽吸引流.术后血肿腔内注入尿激酶,并用生理盐水反复冲洗.动态CT复查.结果 定位准确率达90%;首次抽吸后血肿量减少1/3~1/2,临床症状好转98例,血肿量变化不大9例,血肿量增加11例.结论 CT定位微创治疗高血压脑出血具有操作简单、效果确切、经济安全、病死率低的优点.

关 键 词:高血压脑出血  CT定位  微创  穿刺抽吸
文章编号:1007-1245(2006)15-0062-03
收稿时间:2006-02-08
修稿时间:2006-02-08

The Minimally Invasive Treatment of Hypertensive Cerebral Hemorrhage with CT localization
WU Zhifeng,HE YongYan,MAO ZhiGang. The Minimally Invasive Treatment of Hypertensive Cerebral Hemorrhage with CT localization[J]. International Medicine & Health Guidance News, 2006, 12(15): 62-64
Authors:WU Zhifeng  HE YongYan  MAO ZhiGang
Abstract:Objective To summary the minimally invasive treatment of 118 cases with hypertensivecerebral hemorrhage of basis area with CT localization. Method We punctured suction and drainaged thecerebral hematom with the type YL-1 of paracentetic needl after CT localization, and injected urokinaseand clusised with saline in hematoma cavity postoperatively, and monitoring with CT scans.Result Theaccurate rate of CT localization was 90%. The volume of hematoma decreased 1/3 to 1/2 after the firstpuncture. The clinical symptom recovered in 98 cases.The volume of hematoma had no change in 9 cases,and the volume of hematoma increased in 11 cases.Conclusion The method of minimally invasivetreatment of hypertensive cerebral hemorrhage with CT localization was safe, economics, efficacious,easy to perform, and low fatality rate.
Keywords:Hypertensive cerebral hemorrhage CT localization Minimally invasive Puncture suction
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