脑血管畸形破裂致颅内血肿的急诊救治方案研究及分析.docVIP

精品论文 参考文献 脑血管畸形破裂致颅内血肿的急诊救治方案研究及分析 文建平 　　湖南省郴州市第三人民医院 423000 　　【摘 要】目的：分析研究脑血管畸形破裂致颅内血肿的急诊救治方案及临床效果。方法：选取我院2013年9月到2015年9月间收治的脑血管畸形破裂致颅内血肿的患者108例作为研究对象，将其按照治疗方式的不同进行分组，分别设为A组（48例）、B组（60例），A组患者采用保守治疗，B组患者则采用颅内血肿清除术联合血管畸形切除治疗，回顾分析两组患者的基本资料及临床治疗效果。结果：A组和B组患者的临床治疗有效率分别分别为70.8%和86.7%，有B组患者显著高于A组的情况，差异有统计学意义（P＜0.05）。结论：对脑血管畸形破裂致颅内血肿的患者，采用颅内血肿清除术联合血管畸形切除治疗临床效果显著，更有利于患者的病情改善，治疗效果也更为彻底，值得临床推广应用。 　　【关键词】脑血管畸形破裂；颅内血肿；急诊救治 　　【 abstract 】 objective：to analyze the vascular malformations rupture caused by emergency treatment methods and clinical effect of intracranial hematoma.Selection methods：from September 2013 to September 2015 vascular malformations in patients with ruptured intracranial hematoma caused by 108 as the research object，to be carried out in accordance with the treatment of different groups，respectively，as A group（48 cases）and group B（60 cases），group A were treated by conservative treatment，B group of patients were treated by removal of intracranial hematoma combined vascular malformation resection，the basic data of two groups of patients and retrospectively analyzed the clinical therapeutic effect.Results：in group A and group B patients clinical treatment efficiency were 70.8% and 70.8% respectively，B group of patients were significantly higher than that of group A，the difference was statistically significant（P lt; 0.05）.Conclusion：the vascular malformations rupture caused by patients with intracranial hematoma，the removal of intracranial hematoma with vascular malformation resection therapy clinical effect is remarkable，more conducive to the improvement of patients，treatment effect is also more thoroughly，is worth popularization and application in the clinical practice. 　　【 key words 】 vascular malformations rupture；Intracranial hematoma.Emergency care 　　脑血管畸形指的是因患者的脑血管发育障碍引起局部脑血管的结构或者数量异常的情况[1]，进而对正常血流变化、血液循环造成影响。通常情况下，脑血管畸形在未发作时，并无明显的临床表现，患者多无自觉症状，早期准确诊断的几率较小，而脑血管畸形同时会造成血管薄弱环节的出现，在患者出现剧烈情绪波动等的情况下，容易导致颅内血管高压并致破损的情况[2]，进而因而颅内血肿的发生，威胁患者的健康和生命，对脑血管疾病致颅内血肿的患者进行及