Mirror-assisted sinus surgery for hypertensive cerebral hemorrhage 18 cases.doc

 PAGE \* MERGEFORMAT 7 Mirror-assisted sinus surgery for hypertensive cerebral hemorrhage 18 cases [Keywords:] cerebral hemorrhage; intracerebral hematoma; sinus Mirror Our department since September 2006 ~ December 2008 on the implementation of 18 cases of hypertensive cerebral hemorrhage mirror-assisted sinus surgery, and achieved good effect. Materials and Methods 1. General Information The group of 18 patients, 11 males and 7 females. Aged 45 to 78 years, mean 56.5 years old. Have a history of hypertension. Preoperative head CT, lateral putamen (including the putamen and external capsule) 10 cases, medial putamen (including the globus pallidus and internal capsule) in 5 cases, 3 cases of subcortical; of which 4 cases with hematoma ruptured into the ventricle, no hydrocephalus. hematoma volume is based on the formula Tada ( / 6 long axis short axis level number), is about 40 ~ 80 ml. 2. Clinical disease grading Chinese Medical Association by 1981 special academic session of cerebrovascular hypertensive cerebral hemorrhage four condition grading standards [1] to grade: grade 3 cases, 9 cases, 6 cases, preoperative GCS score, 9 to 12 in 4 cases, 6 to 8 minutes and 12 cases, 4 to 5 minutes in 2 cases. 3. Surgical methods The group of 3 ~ 24 h the onset intrinsic sinus secondary mirror down brain hematoma. All with intubation, according to the maximum level of CT image selection hematoma and hematoma in the brain surface of the projection axis to determine targets, according to the lesion , select the surgical approach and the puncture site, the scalp incision of 4 ~ 5 cm, 3 cm in diameter drilling skull holes, cross cut the dura, select from the target surface recently and cortical blood vessels to avoid the puncture path, out of a little blood in order to confirm the exact site hematoma after puncture tract through the use of nerve and brain sub-plate carefully peel into the hematoma cavity, the suction side of the hole to keep