You Position: Home > Paper
Aspiration of serious hypertensive intracerebral hematoma by minimally invasive tube insertion
( views:225, downloads:72 )
- Author:
- No author available
- Journal Title:
- JOURNAL OF EMERGENCY MEDICINE
- Issue:
- 5
- DOI:
- 10.3760/j.issn:1671-0282.2002.05.002
- Key Word:
- 高血压;脑出血;微创;吸引术
Abstract： 目的初步探讨应用微创置管吸引术救治重型高血压脑出血的临床效果及意义.方法通过对169例重型高血压脑出血,随机分成内科、微创组;每组根据GCS评分又分重、较重、严重3种级别.微创组83例,采用微创置管吸引术方法救治.比较内科治疗组(86例)与微创组治疗的近期(1个月)和远期随访(6个月)结果.结果在重、较重型高血压脑出血救治方面,微创组中的近期优良率(50%)和远期良好率(42.5%)高于内科组的近期优良率(26.3%)和远期良好率(10.1%);而在死亡率方面,微创组(31.5%)明显低于内科组(65.8%).结论微创置管吸引术较内科治疗能显著改善重、较重型高血压脑出血病人的生命预后,并降低了高血压脑出血病人的残死率.
- [1]孙树杰,刘欣,聂志余,等.微创置管吸引术治疗高血压脑出血[J].2000,(2).
- [2]H G, Bae,K S, Lee,I G, Yun,etc.Rapid expansion of hypertensive intracerebral hemorrhage.[J].1992,31.
- [3]W C, Tzaan,S T, Lee,T N, Lui.Combined use of stereotactic aspiration and intracerebral streptokinase infusion in the surgical treatment of hypertensive intracerebral hemorrhage.[J].1997,96.
- [4]主编 张国瑾,赵增荣.国外脑血管疾病研究进展[M].2000.
- [5]W P, Piotrowski,E, Rochowanski.Operative results in hypertensive intracerebral hematomas in patients over 60.[J].1996,42.