63 cases of hypertensive intracerebral hemorrhage of craniotomy.docVIP

 PAGE \* MERGEFORMAT 7 63 cases of hypertensive intracerebral hemorrhage of craniotomy [Keywords:] hypertension; cerebral hemorrhage; craniotomy Hypertensive cerebral hemorrhage with high mortality and morbidity, serious harm to human life and health. Current method of treatment of hypertensive cerebral hemorrhage more different effects, but the treatment of hypertensive cerebral hemorrhage has been widely recognized. Now our hospital from April 2006 to August 2009 with 63 cases of craniotomy in patients with hypertensive cerebral hemorrhage following report. Materials and Methods 1. Clinical data of all patients in this group were hypertension, diagnosed by brain CT of spontaneous cerebral hemorrhage, excluding bleeding is due to aneurysm, arteriovenous malformation, cerebral stroke caused by trauma or tumors, are the first incidence of .63 cases, 43 males and 20 females; aged 35 to 71 years, an average of 58 years. bleeding site: 32 cases of basal ganglia, thalamus in 10 cases, 12 cases of temporal lobe, other parts of the 9 cases. to the formula Tada calculate the amount of bleeding: hematoma volumegt; 40 ml, an average of 54 ml. preoperative shallow coma in 22 cases, 31 patients in coma and deep coma in 10 cases; unilateral mydriasis in 26 cases, 3 cases of bilateral mydriasis. 2. Surgical decompressive craniectomy anesthesia parallel brain hematoma. Usually take standard large trauma or as the case may be, but the bone should be large enough to play a full decompression. Hard to open surgery meninges, from the non-functional area (usually the middle temporal gyrus) cut a length of about 2 cm of cortex entrance, and then gradually further to the hematoma cavity, remove the hematoma side, look at the side of coagulation after bleeding, expanding hematoma after removal dura mater, bone decompression discarded. If his condition improved, 3 months later repair of skull defects. review the results of the first day after CT shows midline was reset,