Minimally invasive treatment of hypertensive complications in 218 cases of cerebral hemorrhage.docVIP

 PAGE \* MERGEFORMAT 9 Minimally invasive treatment of hypertensive complications in 218 cases of cerebral hemorrhage Of: Ma Houzhi, Duan Jing, Tongyong Bin, Li, He Jifu, Bi Yunhua [Keywords:] intracerebral hemorrhage, treatment Hypertensive intracerebral hemorrhage (HICH) is a serious hazard to human health disease, associated with high incidence and high mortality, morbidity and recurrence rate so high, more than 50% of total mortality, most survivors are left varying degrees of disability [1]. HICH complications of minimally invasive surgery have significant impact on the prognosis of the year 1999 January to August 2004, we were minimally invasive surgery HICH research, analysis as follows. 1 Subjects and methods 1.1 object in 218 cases, 141 cases of male and female 77 cases. Aged 32 to 86 years, mean 55.4 years old. According to head CT scan, MRI examination and documentation standards [2], diagnosed with HICH. Pathogenesis of inclusion criteria for the first time, blood loss gt; 20 ml, hypertension Ⅲ. 1.2 Treatment hematoma under the head CT slices selected aspects of the largest and most thick, three-dimensional positioning to determine the puncture point. Local anesthesia, nodding at the puncture the skin and cut a small hole with a drill 3 mm in diameter and the YL 1 type of intracranial hematoma puncture needle grinding, direct puncture to the center of hematoma, hematoma in the first half out, can play the role of intracranial pressure decreased rapidly, and the remaining hematoma with urokinase 50 000 5 ml normal saline solution u + liquid, pinch 4 h, open drainage 8 h, This is repeated until the drainage fluid fades. review of head CT, such as hematoma 80% to 90% has been cleared to needle injection. postoperatively to continue to control blood pressure, use of dehydrating agent and prevent complications such as antibiotics and other drugs. 1.3 OUTCOME MEASURES selected complications following possible prognostic indicators for