高血压脑出血35例手术治疗体会

本文报告了高血压脑出血35例的手术治疗情况。结果:痊愈12例,占34.3％,轻度致残18例,占51.4％,重度致残2例,占5.7％;植物人2例;占5.7％,死亡1例,占2.9％。井就手术适应症、术式及手术注意事项进行了探讨。

OPERATIVE TREATMENT OF HYPERTENSIVE INTRACEREBRAL HEMORRHAGE

Thirty-five cases of hypertensive intracerebral hemorrage were treated by a surgical operation and had a satisfactory result. According to Choi SC, the results were divied into 4 categories. Of the 35 patients, 12(34.3%) Were completely cured, 18(54.1%) had moderate disability, 2(5.7%) severe disability, 2(5.7%) became vegetative and 1(2.9%) died. The cure rate was higher and the moderate disability rate was lower in 12 patients treated by ultra-early operation than in the other 23 patients treated within 8 hours to 7 days after the onset; these differences were statistically significant (P<0.01). The operation indication, operative procedure, operation technique and attention of the surgical operation were discussed. These data suggest that the operative treatment of HIH should be performed as early as possidle.