摘要
目的探讨小骨窗开颅在高血压脑出血中的临床价值。方法回顾性总结2005年7月至2008年5月67例经小骨窗开颅治疗高血压脑出血患者的临床资料。结果本组血肿清除85%以上者52例,70%～85%者15例;术后死亡4例（5.97%）;63例。术后随访6月至3年,日常生活能力（ADL）分级1级14例、2级31例、3级10例、4级5例、5级3例,ADL 1～3级者占82.1%。结论小骨窗开颅治疗高血压脑出血安全、有效。
Objective To explore the clinical value of craniotomy with small bone window in the treatment of hypertensive cerebral hemorrhage. Methods Retrospectively analysed the data of 67 hypertensive cerebral hemorrhage patients received craniotomy with small bone window from Jun,2005 to May,2008. Results Hematoma clearance rate were up to 85 % in 52 cases and between 70% and 85% in 15 cases. 4 patients died after the operation（5.97% ）. The 63 survived patients were followed up from 6 months to 3 years. Evaluated by Activities of Daily Living（ADL） , 14 patients belonged to Grade 1,31 patients Grade 2, 10 patients Grade 3,5 patients Grade 4 and 3 patients Grade 5. 55 cases whose ADL were in Grade 1 - 3 （82. 1% ）. Conclusion Craniotomy with small bone window is an effective and safe therapeutics for hypertensive cerebral hemorrhage.
出处
《实用医院临床杂志》
2009年第4期65-66,共2页
Practical Journal of Clinical Medicine
关键词
高血压
脑出血
手术治疗
小骨窗
疗效
Hypertension
Cerebral hemorrhage
Surgical treatment
Small bone window
Outcome
