| 高血压脑出血手术时机的临床研究 |
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| 引用本文： | 李德康,杨晓滨,张孙富,胡泽君,邓仕强,杨安强,吴珂,陈俊臣.高血压脑出血手术时机的临床研究[J].中国现代医生,2008,46(28):22-23. |
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| 作者姓名： | 李德康 杨晓滨 张孙富 胡泽君 邓仕强 杨安强 吴珂 陈俊臣 |
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| 作者单位： | 四川省宜宾市第一人民医院,四川宜宾,644000 |
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| 摘 要： | 目的评价高血压脑出血患者行颅内血肿清除手术的时机对临床效果的影响。方法本组男46例，女34例。采用（1）去骨瓣减压血肿清除术；（2）小骨窗开颅微创血肿清除术；（3）骨瓣开颅微创血肿清除术；（4）颅骨钻孔血肿引流术；（5）单纯脑室外引流术。结果80例患者均行手术治疗，死亡23例（占28．75％），存活57例（占71．25％）。结论高血压脑出血患者应尽早争取手术时间，早期手术可提高救治成功率，降低术后患者致残率。
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| 关 键 词： | 高血压 脑出血 手术时机 选择 预后 |
Clinical Study of Operation Time on Hypertensive Intracerebral Hemorrhage |
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| Authors: | LI Dekang YANG Xiaobin ZHANG Sunfu HU Zejun DENG Shiqiang YANG Anqiang WU Ke CHEN Junchen |
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| Institution: | LI Dekang YANG Xiaobin ZHANG Sunfu HU Zejun DENG Shiqiang YANG Anqiang WU Ke CHEN Junchen The First People\'s Hospital of Yibin,Sichuan 644000 |
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| Abstract: | Objective To evaluate the effect of operation time for hypertensive hemorrhage patients suffering from the intracranial hematoma clearance on the efficacy. Methods Female was 34 cases,male was 46 cases and they were done as following. (1)Bone-out flat decompresion hematoma clearance.(2)Small craniotomy hematoma clearance. (3)Bone flap craniotomy.(4)Cranial drilling hematoma evacuation drainage. (5)Simple ventricle drainage. Results 80 cases were treated by surgery. Death 23 cases(28.75%),survival 57 cases(7... |
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| Keywords: | Hypertention Cerebral hemorrhage Operation time Choice Prognosis |
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