116例高血压脑出血的手术治疗（Surgical treatment of 116 cases of hypertensive intracerebral hemorrhage）.docVIP

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116例高血压脑出血的手术治疗（Surgical treatment of 116 cases of hypertensive intracerebral hemorrhage）.doc

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116例高血压脑出血的手术治疗（Surgical treatment of 116 cases of hypertensive intracerebral hemorrhage）

116例高血压脑出血的手术治疗（Surgical treatment of 116 cases of hypertensive intracerebral hemorrhage） Surgical treatment of 116 cases of hypertensive intracerebral hemorrhage Update Date: 2010-10-15 click: Wei Xi, Luo Baosui, Yu Qi Surgical treatment of hypertensive intracerebral hemorrhage in 116 cases, including 98 cases of early surgery, 18 cases of ultra early surgery, 28 cases of postoperative death. Craniotomy was used to suck the hematoma, such as breaking into ventricles of the brain, drilling the forehead and ventricular drainage. The displacement of the midline as soon as possible and reversible recovery of brain function damage, has a positive effect. Keywords hypertension; intracerebral hemorrhage; surgical procedures; From January 1986 to June 1996, we treated 116 patients with hypertensive intracerebral hemorrhage, including 98 cases of early operation group, 20 cases of death, accounting for 20.4%; 18 cases of ultra early operation group, 8 cases of death, accounting for 44%. The summary of treatment is summarized as follows: 1 clinical information 1.1 general data were 106 males and 10 females. The age ranged from 50 years to 50 years, from 60 to 61 years, 70~79 years old, 5 cases, average 65.3 years old. There were 101 cases of hypertension and 82 cases with elevated blood pressure at admission. 29 cases were hospitalized in 6h, 7 to 24h in onset, 85 cases in hospital and 24 to 72h in 2 cases. 1.2 clinical manifestations: change of consciousness: 10 cases of sober, 26 cases of hazy, 21 cases of mild coma, 50 cases of coma, 9 cases of deep coma. Vital signs: the temperature was 9 39, and the blood pressure ranged from 24 to 30/12 to 15kPa82. Pupil: 14 cases of mydriasis of one side. 2 cases of brain rigidity. 1.3 the hematoma was made by CT or MRI scan: the volume of hematoma: Calculation of 1 T= PI /6 * L * S * Slice by chef formula. The volume of hematoma in this group ranged from 30 to 60ml64, 61 to 80ml40, and 80ml12. 0.5cm52 shift of midline, 0.8cm24 cases.