小骨窗开颅血肿清除术治疗中等量基底节区高血压性脑出血疗效分析.docVIP

精品论文 参考文献 小骨窗开颅血肿清除术治疗中等量基底节区高血压性脑出血疗效分析 乔俊东 　　（四川达州市达县人民医院神经外科 635000） 　　【摘要】 目的：总结小骨窗开颅血肿清除术治疗中等量的基底节区高血压性脑出血的临床疗效及并发症。方法：采用回顾性分析方法，对我院30例符合纳入标准的高血压性脑出血患者临床资料进行分析，分析其临床疗效、发病3个月后死亡率以及住院期间的并发症。结果：小骨窗开颅血肿清除术治疗后，无效、恶化死亡率分别降低到16.67%和10%，总有效率达到73.33%，说明在改善患者功能缺损方面作用较强。患者住院期间的主要并发症为呼吸道感染、胃出血、电解质紊乱、再出血、心衰、颅内感染，其中呼吸道感染5例占16.67%，消化道出血、再出血、电解质紊乱均为6.67%，颅内感染和心衰各占3.33%。结论：小骨窗颅内血肿清除术治疗高血压性脑出血具有手术创伤较小，颅内血肿清除比较彻底、快速促进术后神经功能恢复，是可供临床选择。 　　【关键词】 高血压脑出血；小骨窗开颅血肿清除术 　　【中图分类号】R743.2 【文献标识码】A 【文章编号】2095-1752（2015）06-0214-02 　　Clinical Analysis Of Moderate Basal Ganglia Hypertensive Intracerebral Hemorrhage Treating By Small Bone Window Craniotomy 　　QIAO Jun-dong（Department of Neurosurgery,Daxian Peoplersquo;s Hospital,Daxian Sichuan 635000,China） 　　【Abstract】Objective Summary for the treatment of small bone window craniotomy hematoma removal in the same amount of basal ganglia region the clinical curative effect of hypertensive cerebral hemorrhage and complications. Methods By using the method of retrospective analysis into standard in 30 cases of hypertensive cerebral hemorrhage patients with clinical data were analyzed, and the analysis of the clinical curative effect, after 3 months mortality and complications during hospitalization. Results Removal of small bone window craniotomy hematoma after treatment, ineffective, deteriorating mortality rate reduced to 16.67% and 16.67% respectively, total effective rate of 73.33%, in improving patient function defects is stronger. Patients in the hospital during the period of the main complications of the respiratory tract infection, gastrointestinal bleeding, electrolyte imbalance, further hemorrhage, heart failure, intracranial infection, the respiratory tract infection in 5 cases (16.67%), gastrointestinal bleeding, bleeding, electrolyte disorder were 6.67%, 3.33% of intracranial infection and heart failure. Conclusions Small bone window for removal of intracranial hematoma in the treatment of hyp