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立体定向锥脑血肿置软管术联合尿激酶治疗高血压脑出血疗效分析
引用本文:伍嘉坚,毕尚青,简洪彬,张文勇,梁显章,黄文达,叶翠河,肖国燕. 立体定向锥脑血肿置软管术联合尿激酶治疗高血压脑出血疗效分析[J]. 岭南急诊医学杂志, 2011, 16(3): 172-173,190. DOI: 10.3969/j.issn.1671-301X.2011.03.006
作者姓名:伍嘉坚  毕尚青  简洪彬  张文勇  梁显章  黄文达  叶翠河  肖国燕
作者单位:1. 广东省新兴县人民医院神经内科,527400
2. 广东省新兴县人民医院ICU,527400
3. 广东省新兴县人民医院康复医学科,527400
基金项目:云浮市医药卫生科研项目
摘    要:目的:探讨应用立体定向锥脑血肿置软管术联合尿激酶治疗高血压脑出血的临床疗效.方法:将63例高血压脑出血患者随机分为立体定向锥脑血肿置软管术治疗组(微创组)32例和内科保守治疗组(内科组)31例,比较两组疗效.结果:微创组的短期疗效和远期疗效都优于内科组.结论:立体定向锥脑血肿置软管术联合尿激酶治疗较内科治疗能更显著地改善高血压脑出血患者的预后.

关 键 词:立体定向  置管引流  高血压脑出血  生存质量

Effect Analysis of Stereotactic Tube Drainage Minimally Invasive Surgery Combined with Urokinase Treatment for Patients with Hypertensive Cerebral Hemorrhage
WU Jia-jian,BI Shang-qing,JIAN Hong-bin,ZHANG Wen-yong,LIANG Xian-zhang,HUANG Wen-da,YE Cui-he,XIAO Guo-yan. Effect Analysis of Stereotactic Tube Drainage Minimally Invasive Surgery Combined with Urokinase Treatment for Patients with Hypertensive Cerebral Hemorrhage[J]. Lingnan Journal of Emergency Medicine, 2011, 16(3): 172-173,190. DOI: 10.3969/j.issn.1671-301X.2011.03.006
Authors:WU Jia-jian  BI Shang-qing  JIAN Hong-bin  ZHANG Wen-yong  LIANG Xian-zhang  HUANG Wen-da  YE Cui-he  XIAO Guo-yan
Affiliation:1.Department of Neurology, the People ,s Hospital of Xinxing, Guangdong Province, 527400 2.Department of Intensive Care Unit 3.Departtment of Rehabilitation Medicine
Abstract:Objective: To evaluate the effect of stereotactic tube drainage minimally invasive surgery combined with m'okinase treatment for patients with hypertensive cerebral hemorrhage. Method: 63 patients with hypertensive cerebral hemorrhage were randomly divided into two groups, 32 cases treated by stereotactic tube drainage minimally invasive surgery combined with urokinase treatment as minimally invasive group and 31 cases treated by conservative treatment as internal medical treatment group. The efficacy was compared between the two groups. Results: The efficacy of both short-term and long-term effects was better in minimally invasive group than that in internal medical treatment group. Conclusion: Stereotactie tube drainage minimally invasive surgery combined with urokinase treatment will be more significant improvement than the internal medical treatment in the prognosis of patients with hypertensive cerebral hemorrhage.
Keywords:stereotactic  tube drainage  hypertensive cerebral hemorrhage  quality of life
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