摘要
目的阐明高血压脑出血破入脑室的诊断,探讨其合理的治疗。方法回顾性分析252例高血压脑出血破入脑室患者的临床资料、辅助检查和治疗结果。方法 252例中全部经头颅CT证实为脑出血并破入脑室,161例为基底节出血破入脑室,91例为丘脑出血破入脑室,原发血肿量40～80mL。134例保守治疗,118例手术治疗。治疗后,保守组75例存活,59例死亡(44.0%);手术组102例存活,16例死亡(13.6%)。结论小骨窗开颅血肿清除、血肿残腔外引流与脑室穿刺尿激酶溶解持续外引流的联合手术方式可以及时、有效地清除脑内积血,加快脑内血肿清除速度,缩短脑内血肿完全消除时间,并能有效减少脑积水及其它并发症的发生,改善患者预后。
[ Objection ] To clarify the diagnosis of hypertensive intracerebral ＂hemorrhage and broke into the ventricles of the brain, to explore the rational treatment. [Methods] Retrospective analysis 252 cases of hypertensive intraeerebral hemorrhage and broke into the ventricles of the brain, including medical history, secondary inspec- tion investigation and treatment outcomes. [Results] The 252 cases of intraventrieular hemorrhage and broke into the ventricles of the brain were all diagnosed correcdy by the skull CT. 161 cases of basal ganglia hemorrhage rupturing into the ventricles of the brain. 91 cases of thalamic hemorrhage rupturing into ventricle. Primary hematoma volume 40-80 ml. 134 cases of conservative treatment. Surgical treatment of 118 cases, 75 cases survived after con- servative treatment, 59 died. 102 cases survived after surgical treatment, 16 died. [Conclusion] Clearance of in- tracerebral hematoma through the small skull window, residual hematoma cavity drainage, and dissolved by UPA, external drainage through ventriealar puncture can be a timely and effective way to remove the brain plot blood; speed up the rate of intracerebral hematoma; shorten the time for the complete elimination of intracerebral hematoma; effectively reduce hydrocephalus and other complications; and improve the prognosis of patient.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2011年第33期4172-4175,4180,共5页
China Journal of Modern Medicine
关键词
高血压
颅内出血
脑积水
Hypertensive
Intracranial hemorrhage
Hydrocephalus
