A small bone window craniotomy for hypertensive cerebral hemorrhage 20 cases of.docVIP

 PAGE \* MERGEFORMAT 7 A small bone window craniotomy for hypertensive cerebral hemorrhage 20 cases of Author: Sun Jing and, golden stone, Kim Il-M [Abstract] [Background] of small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage. [Case report] the use of small bone window craniotomy in treatment of hypertensive cerebral hemorrhage in 20 cases, follow-up 3 to 6 months to the patient’s daily living ability (ADL) assessment of efficacy; survival in 17 cases, of which ADL for three cases of grade Ⅰ , Ⅱ grade 6 cases, Ⅲ grade 7 cases, Ⅳ grade 1 cases. [discussion] small bone window craniotomy treatment of high - blood pressure, cerebral hemorrhage with less trauma, shorter operative time, less complications and postoperative recovery was quick, low mortality and disability benefits, the treatment of hypertensive cerebral hemorrhage an effective manner. [Keywords:] intracranial hemorrhage, hypertensive; fenestration; treatment Yanbian University Hospital in January 2001 -2,007 1 month of the use of small bone window craniotomy for hypertensive cerebral hemorrhage in 20 cases, results were satisfactory. A clinical data 1.1 General Information of this group 20 patients received a small bone window craniotomy patients, male 15 cases, female 5 cases; age of 37 to 79 years with an average of 55 years of age; surgery at the 7h or less from the time of onset were 16 cases, 7 ~ 72h were 4 cases; 17 cases had history of hypertension; 18 cases of higher than normal blood pressure on admission; hematoma areas: the basal ganglia area of l6 cases, three cases under the cortex, outer capsule of 1 case; surgery preconscious by GCS score, 6 to 8 hours were 4 cases, 9 ~ 12 hours were 12 cases, 13 points more than 4 cases; by Tada amount of bleeding and hematoma is calculated as 30 ~ 70mL, an average of 45mL. Case selection criteria: The CT examination proved to be spontaneous intracerebral hemorrhage; onset time in 72h or less persons; hematoma vo