超早期联合清除血肿用于脑出血治疗疗效及安全性评价.docVIP

精品论文 参考文献 超早期联合清除血肿用于脑出血治疗疗效及安全性评价 陈建刚 　　(四川省成都市天府新区人民医院神经外科 四川 成都 610213) 　　【摘要】 目的：评价分析超早期联合清除血肿用于治疗脑出血的临床疗效及其安全性。方法：利用CT进行定位，分次定量抽吸，用冰盐水冲洗并用尿激酶溶解血肿。结果：将超早期联合清除血肿用于治疗脑出血，与超早期单纯血肿抽吸及早期血肿抽吸加冰生理盐水冲洗相比，患者存活率及生活质量均更优（Ｐ＜0.05）。超早期联合清除血肿的再出血率显著低于超早期血肿抽吸（Ｐ＜0.05）。结论：将超早期联合清除血肿用于治疗脑出血，不仅可以及时清除血肿，同时还可以有效解决抽吸困难及再出血等问题，可以降低患者死亡率、致残率，改善患者的生活质量。 　　【关键词】 超早期；联合清除血肿；脑出血；疗效；安全性 　　【中图分类号】R743.34 【文献标识码】A 【文章编号】2095-1752（2016）09-0040-02 　　The Efficacy and safety evaluation of Ultra early combined removal of hematoma in treatment of cerebral hemorrhage Chen Jiangang. 　　The Peoples Hospital of Tianfu New District, Chengdu City, Sichuan Province, Chengdu 610213, China 　　【Abstract】Objective To evaluate the clinical efficacy and safety of early combined removal of hematoma in the treatment of cerebral hemorrhage. Methods CT was used to carry out the localization, and the second was to carry out the quantitative aspiration, and the ice salt water was used to flush and dissolve the hematoma with urokinase. Results Will be super early evacuation of intracranial hematoma for treatment of cerebral hemorrhage, and over irrigation compared early simple hematoma aspiration and early hematoma aspiration ice physiological saline, and survival in patients with rate and quality of life were better (P lt; 0.05). The re bleeding rate of ultra early combined removal of the hematoma was significantly lower than that of the early hematoma aspiration (P lt; 0.05). Conclusion Early combined removal of hematoma in the treatment of cerebral hemorrhage, not only can remove the hematoma, but also can effectively solve the problem of suction and bleeding, can reduce the mortality and disability rate, improve the quality of life of patients. 　　【Key words】 Early in the early stage; Combined removal of hematoma; Cerebral hemorrhage; Efficacy; Safety 　　在以往的临床治疗中，脑出血多采用保守方法进行治疗。脑出血患者的死亡率及致残率均较高。开颅血肿清除术要求的手术适应症比较严格，且具有损伤较大的弊端，因此具有一定的局限性。利用CT的引导进行颅内血肿穿刺术是治疗脑出血的一种新方法，目前还存在一定缺点，例如