微创术治疗高血脑出血的临床研究.pdf

微创术治疗高血压脑出血的临床研究 摘 要 目的：探讨高血压脑出血病人手术时机的选择及影响预后的主 血压脑出血病人除32例丘脑出血破入脑室者施侧脑室引流外，其 余12l例均采用颅骨钻孔血肿穿刺抽吸治疗，并于血肿腔内置硅胶 管引流，注入稀释的尿激酶保留4h后放出冲洗。施术时间在病后 6h前施术1 长1例病后14h。结果：治愈121例，自动出院4例，死亡28例， 其中发病6h内施术者死亡4例，发病6h后施术者死亡24例，死 于肺部感染等并发症。结论：l、手术时机选择在发病6小时内术 后再出血机率高，再出血是导致病情加重的主要原因；2、发病6h 后施术有利安全；3、小脑幕以上出血量在30ml以上为适应症：4、 并发症是死亡的主要原因。 关健词：高血压；脑出血；微创术 堑±垒丝堑塞兰丝圭 丝型查丝垂童垒星墅丝垒丝鳖壅堑窒 The clinicalresearchon invasive minimally treated intracerebral of surgery hemorrhage hypertension Abstract the to and Objective：Toexploreoperation elect opportunit)。how the which the mainfactors affect aboutthe with prognosis patient intraccerebral hypertensive hemorrhage． 1 Methods：In53 with patients hypertensive to fromthe 1994the 32casesof April April hemorrhage 2004，except thalamus brokenintoventriclesweretreated hemorrhages by the lateraland the rest121 cases hematoma，the punctureing draining ossa and werealltreated cranil the by holed、punctureingdrawing a int