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Evaluation of microsurgery treatment for hypertensive cerebral hemorrhage with intraventricular hemorrhage
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- Author:
- No author available
- Journal Title:
- JOURNAL OF MODERN CLINICAL MEDICAL BIOENGINEERING
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1008-634X.2006.06.015
- Key Word:
- 高血压;脑室出血;显微手术
Abstract： 目的 探讨高血压脑出血破入脑室的手术治疗方法.方法 采取大骨瓣开颅显微镜下血肿清除术和小骨窗开颅显微镜下血肿清除术对38例高血压脑出血破入脑室的患者行手术治疗.结果 术后存活33例,死亡5例(13%).随访存活患者,按ADL评分:Ⅱ级10例(26%),Ⅲ级15例(39%),Ⅳ级5例(13%),V级3例(8%).结论 对早期高血压脑出血量＞30 ml破人脑室并发脑疝者应尽早行大骨瓣开颅显微镜下血肿清除术,对于出血量＜30 ml或形状不规则破入脑室应在严密观察下行保守治疗＞24 h后取小骨窗微创手术清除血肿,可降低死残率,提高生存质量.
- [1]高广伟,岳新灿,张剑宁.大骨瓣减压救治重型高血压脑出血的体会[J].2004,(3).
- [2]谢京城,王振宇,刘彬,等.小骨窗开颅显微手术治疗高血压性脑出血[J].2004,(2).
- [3]赵亚伟,杨卫山,何伯勇,等.不同手术方法治疗幕上高血压脑出血早期疗效观察[J].2004,(1).
- [4]郭伟,左右,董广宇,等.高血压脑出血微创手术治疗临床分析[J].2004,(12).
- [5]邱永明,林毅兴,田鑫,等.Hypertensive intracranial hematomas: endoscopic-assisted keyhole evacuation and application of patent viewing dissector[J].2003,(2).
- [6]严国山,刘大忠,杨晓玲,等.高血压继发性脑室出血微创治疗114例分析[J].2005,(7).
- [7]Julian T, Hoff.Editorial comment--International variations in surgical practice for spontaneous intracerebral hemorrhage.[J].2003,34.
- [8]Grotta JC.Management of Primary Hypertensive Hemorrhage of the Brain.[J].2004,6(6).
- [9]王忠诚主编.神经外科学[M].1998.
- [10]Kaya RA,Ziyal IM,Dalkilic T,etc.The effects on prognosis of surgical treatment of hypertensive putaminal hematomas through transsylvian transinsular approach.[J].2003,59(3).