Minimally invasive treatment of hypertensive cerebral hemorrhage experience of the two approaches.doc

 PAGE \* MERGEFORMAT 7 Minimally invasive treatment of hypertensive cerebral hemorrhage experience of the two approaches [Abstract] Objective two minimally invasive treatment of hypertensive cerebral hemorrhage experience. Methods hard tunnel - intracranial invasive Puncture dissection using the YL-1 type of intracranial hematoma in 28 cases of needle crushing and soft channel - Minimally Invasive use of technology involved in intracranial hematoma external shunt for single use 25 cases of brain. Conclusion minimally invasive soft-channel technology and hardware intracranial hematoma and one removal of intracranial invasive Puncture treatment of hypertensive cerebral hemorrhage are practical and effective way. [Keywords:] minimally invasive treatment of hypertensive cerebral hemorrhage Our hospital from March 2008 to May 2009 using two types of minimally invasive treatment of intracranial hematoma in 53 cases. Efficacy is more than conservative medical therapy, and simple, minor trauma, low cost, the exact effect, these are as follows: 1 Clinical data 1.1 General information: 53 cases, male: 33. Female: 20 cases. Aged 42-74 years, mean 58 years 1.2 course: 6 hours from onset to surgery within: 5 cases. 8-24 hours: 40 cases, 24-48 hours: 8 cases. 1.3 The state of consciousness: conscious: 7 cases, lethargy: 10 cases. Light coma: 25 cases. Coma: 8 cases. 7 cases in which herniation symptoms. 1.4 neurological deficit: 53 patients with varying degrees of hemiplegia. 1.5 CT scanning: 53 patients with basal ganglia hematoma, 46 cases of lobar hematoma in 3 cases, 4 cases of thalamic hemorrhage. Of which 13 were broken into the ventricle, hematoma volume of at least 20ml, maximum blood loss was 100ml. 2 surgical methods 2.1 hard tunnel minimally invasive surgery using a YL-1 type of intracranial hematoma smash a one-time treatment of hypertensive cerebral hemorrhage Acupuncture is based on head CT scan revealed a hematoma