早期小骨窗开颅治疗高血压脑出血52例疗效分析

目的: 探讨早期小骨窗开颅治疗高血压脑出血的手术方法及疗效。方法: 对高血压脑出血52例发病后6~12 h内进行手术,通过长约6 cm的头皮直切口,直径3~4 cm的小骨窗开颅,沿脑沟切开皮层进入血肿腔中清除大部分血肿,术后经过血肿腔引流管注入尿激酶清除残余的血肿。结果: 52例患者中恢复良好30例,中残8例,重残4例,植物状态3例,病死5例,自动出院2例。结论: 早期小骨窗开颅清除高血压脑出血具有手术时间短、创伤小、恢复快、治愈率高等优点,适合在基层医院开展应用。

Early craniotomy with small bone flap for treatment of hypertensive intracerebral hemorrhage

Objective:To explore application and effectiveness of craniotomy with small bone flap for the early treatment of hypertensive intracerebral hemorrhage. Methods:Fifty-two patients with hypertensive intracerebral hemorrhage were underwent surgical treatment within 6 to 12 hours after bleeding.Small bone flap with diameters of 3 to 4 cm were made through 6cm vertical scalp incision,and then the hematomas in cavity were cleaned out through cortical ostomy along sulcus.After surgery,hematomas cavities were perfu...