23 patients with acute minimally invasive treatment of senile cerebral hemorrhage.docVIP

 PAGE \* MERGEFORMAT 10 23 patients with acute minimally invasive treatment of senile cerebral hemorrhage Of: Wu Wei Chao Lu recorded at the quality of gold into Haiyan [Keywords:] cerebral hemorrhage, minimally invasive treatment, craniotomy Now that the choice of appropriate treatment is the key to the treatment of intracerebral hemorrhage in the elderly, but on the choice of surgical and prognosis is not the case Learn more. Neurosurgical hospital in January 2008 to August 2009 were treated between cases, 23 cases were minimally invasive treatment, and compared with 19 patients undergoing craniotomy were compared. 1 Materials and Methods 1.1 General Information The group of 42 patients, 26 males and 16 females, aged 60 to 78 (mean (68.7 + -8.2 years). Were diagnosed by CT. Among them, 24 cases of basal ganglia hemorrhage, thalamic hemorrhage in 11 cases, other parts of the bleeding 7 cases, breaking into the ventricle in 8 cases, 3 patients with cerebral hydrocephalus. were unconscious on admission Glasgow Coma (GCS score 6 to 12 points, 12 points greater than or less than 6 points-based group of patients who do observe. Preoperative CT examination showed the hematoma volume of 23 ~ 82 ml, an average of 41.7 ml. 1.2 Case Packet Craniotomy surgery and minimally invasive treatment based on the characteristics of patients randomized, including 19 cases of cranial surgery, minimally invasive treatment of 23 cases. Patients in the bleeding site, bleeding, admission status, timing of surgery and postoperative treatment did not differ between the corresponding . operative time after hemorrhage 3 ~ 72 h,gt; 72 h were not included in this group were observed. 1.3 Treatment general anesthesia craniotomy was mainly the corresponding position after the opening size of about 6 cm 8 cm bone window, cut the dura mater and the suspension, the local cortical incision to remove the hematoma, decompressive craniectomy in parallel. minimally inv