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Early curative effects in 225 patients with spontaneous intracerebral hemorrhage treated by stereotactic catheter drainage

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Author:
No author available
Journal Title:
JOURNAL OF EMERGENCY MEDICINE
Issue:
5
DOI:
10.3760/j.issn:1671-0282.2002.05.003
Key Word:
脑出血;微创;管道引流

Abstract: 目的探讨自发性脑出血血肿微创清除术的近期疗效及其对术后30天病死率的影响.方法采用CT定向、电脑模拟纸坐标定位、旋转式手钻锥颅、微管碎吸的方法清除血肿,监测术前及术后各时相点的颅内压、格拉斯哥昏迷评分积分的动态变化,观察30天实际与预测病死率、并发症和神经影像学变化.结果全组30天的预测病死率为58.26%,实际病死率为20.89%,差异极其显著(P<0.001).术前平均血肿容积为(41.4±12.8)ml,术后为(14.9±4.3)ml,差异极其显著(P<0.001).结论脑血肿微创清除术有显著降低自发性脑出血病死率作用,但其术后并发症却降低了其应有的疗效.对其并发症的防治研究是今后研究的重点.

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