合并脑疝的高血压基底节区脑出血的显微外科手术治疗_许海雄.pdfVIP

# 93 # 2004 5 27 2 Chin J Microsurg, M y, 2004, Vol 27, No12 ## 合并脑疝的高血压基底节区脑出血的显微外科 手术治疗 许海雄 罗友章 李克民 张志宏 方旭生 林恩 郭骅 刘明发 张增良 孙德麟 = , , , , 6 , ( FIM) ( ADL) 60 , 9 , 15% 6~ 24 , 1, 50 FIM of ADL , 3 , 4 , 5 , 12 , 15 , 4 , 3 , 4 , , , = ; ; Microsurgical treatment for hypertensive basal ganglia hemorrhage complicated cerebral herniation X U Hai-xiong, L UO You-zhang, LI Ke-min ZHANG Zhi-hong, FANG Xu-sheng, LIN En, GUO Hua, LI UMing-f a, ZHAHG Zeng-liang , UN De-lin1 Dep artmet of Neurosurgery, Central Hospital of Guangdong hantou, hantou 515031, China = Abstract Obj ective To study the methods nd cur tive effect of microsurgery tre tment hypertensive b s l g ngli hemorrh ge complic ted cerebr l herni tion1 Methods Tr nsfrontotempor l cr niotomy, l rge decompres- sive cr niotomies, cortex stom is m de by minim lly inv sive technique, remove intr cr ni l hem tom nd withhold- ing bleeding under microscope on 60 p tients of hypertensive b s l g ngli hemorrh ge complic ted cerebr l herni- tion1 Then follow-up 6~ 24 months fter the oper tion, ev lu te ctivities of d ily living( ADL) by function l inde- pendence me sure( FIM) 1 Results Nine p tients died mong 60 c ses, f t lity w s 15% 1 After oper tion there were 18 c ses complic ted g strointestin l bleeding, 37 c ses complic ted lung infection, 3 c ses were multiple org n f ilure1 Follow-up 6~ 24 months, 1 c se w s losed, 3 p tients showed completely independence, 4 p tients showed essenti l independence, 5 p tients need extreme mild-dependence, 12 p tients need mild-dependence, 15 p tients need moder te-dependence, 4 p tients need severe-dependence, 3 p tients need extreme severe-dependenec, 4 p- tients need completely de