42 Cases on the intracranial hematoma minimally invasive treatment（42例颅内血肿的微创治疗）.docVIP

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42 Cases on the intracranial hematoma minimally invasive treatment（42例颅内血肿的微创治疗）.doc

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42 Cases on the intracranial hematoma minimally invasive treatment（42例颅内血肿的微创治疗）

42 Cases on the intracranial hematoma minimally invasive treatment [Abstract] Objective To evaluate the efficacy of the minimally invasive treatment of intracranial hematoma. From March 2007 to October 2010 under the guidance of head CT, YL-I-type needle Surgical treatment of intracranial hematoma in 42 cases. Recovery results good in 24 cases (57.14%), improved in 11 cases (26.19%), 3 cases (7.14%), death in 4 cases (9.52%). Conclusions CT-guided minimally invasive treatment of intracranial hematoma is not yet herniation The exact types of acute, subacute and chronic intracranial hematoma efficacy little injury, patients recover quickly, appropriate promote the use of grass-roots hospitals with CT. [Keywords] minimally invasive surgery of intracranial hematoma Intracranial hematoma previous treatment is usually craniotomy to remove the hematoma, the trauma of this method could easily cause the brain of tension pneumocephalus, intracranial infections, seizures and other complications [1]. Conservative treatment mortality rate of 50% to 60% [2 ], poor clinical outcomes of using since March 2007 to October 2010, 42 cases of minimally invasive surgery in patients with intracranial hematoma, achieve better results, are reported below. 1 clinical data 42 cases of cerebral hemorrhage patients, male 29 cases, 13 females, aged 42 to 72 years, an average of 63 years of age; hypertensive intracerebral hemorrhage in 34 cases, subacute and chronic subdural hematoma in eight cases, the amount of bleeding 25 ~ 70ml. People hospital hemiplegia, aphasia, 15 cases. 10 cases of coma, brain herniation 4 cases diagnosed by brain CT on the screen, bleeding, to rule out hemorrhagic infarction, mixed stroke and encephalitis bleeding time of onset: 4 to 72 hours with hypertensive intracerebral hemorrhage, subdural hematoma 5 days to two weeks. 2 treatment All patients were treated location in CT films and cranial CT, conventional skin preparation, disinfecti