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高血压丘脑出血的手术探讨 被引量:1

Operation discussion of serious hypertension and mound and cerebral hemorrhage
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摘要 目的 :对 2 0例急性高血压丘脑出血进行CT分型 ,探讨最佳手术方式。方法 :根据分型结果 ,分别给以单纯脑室外引流、经侧脑室血肿清除加脑室外引流术和经颞叶血肿清除术。结果 :死亡率 30 % ,明显低于文献报道的保守治疗 ,神经功能恢复情况较非手术组明显提高。结论 :积极多方式的手术干预可尽快缓解颅内压 ,中断和减轻脑内血肿压迫和液化后引起的继发性脑损害 ,将死亡率。 Objective: Carry on CT dividing type to 20 acute hypertension and mound and cerebral hemorrhage, Probe into the best operation way. Method: According to result of dividing , gave simple brain outdoor drainage , removed and added the outdoor drainage of brain and removed the skill by side ventricles of the brain hematoma by the temporal lobe hematoma separately. Result: 30% death rate, lower than document report conservative to treat, neural function resume situation perform the operation group raise obviously. Conclusion: The positive and multi-way operation was intervened and can be alleviated and pigeonholed in the cranium as soon as possible, the ones that stop and lightenned the hematoma oppression in the brain and caused behind liquefaction continued the sending brain to damage , it is lowest to bring death rate , invalid rate down to.
出处 《河北医学》 CAS 2004年第9期823-824,共2页 Hebei Medicine
关键词 高血压 丘脑出血 手术 Hypertension Mound and cerebral hemorrhage Operation
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参考文献4

  • 1赵卫忠,张文科,李天郁,许辉,段磊.继发性脑室出血的治疗[J].中华神经外科杂志,1995,11(1):51-52. 被引量:122
  • 2Rabinstein AA,Atkinson JL,Wijkicks FM ,et al . Emergency craniotomy in patients worsening due to expanded cerebral hematoma: To what purpose[J]. Neurology ,2002,58(9):1357-1371. 被引量:1
  • 3Siddique MS ,Fernandes HM ,Wooldridge TD ,et al . Reversible ischemia around intracerebral hemorrhage:a single-photon emission computerized tomography[J] . Neurosurg ,2002 ,96(4):736-741. 被引量:1
  • 4刘承基.脑血管病的外科治疗[M](第1版)[M].江苏科学技术出版社,2000.313-330. 被引量:1

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同被引文献4

  • 1赵卫忠,张文科,李天郁,许辉,段磊.继发性脑室出血的治疗[J].中华神经外科杂志,1995,11(1):51-52. 被引量:122
  • 2刘承基.脑血管病的外科治疗[M].第1版.南京:江苏科学技术出版社.2000.313-330 被引量:1
  • 3Rabinstein AA, Atkinson JL, Wijkicks FM, et al. Emergency craniotomy in patients worsening due so expanded cerebral hema toma : To what purpose [ J ]. Neurology ,2002,58 ( 9 ) : 1357 - 1371 被引量:1
  • 4Siddique MS, Fernandes HM, Wooldridge TD, et al. Reversible ischemia around intracerebral hemorrhage:a single-photon emission computerized tomography [ J ]. Neurosurg ,2002 ;96 (4) :736-741 被引量:1

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