引用本文:陈永卫.高血压脑出血小骨窗手术治疗体会[J].中国临床新医学,2011,4(9):870-872.
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高血压脑出血小骨窗手术治疗体会
陈永卫
536100 广西,合浦县红十字会医院外科
摘要:
[摘要] 目的 探讨小骨窗手术治疗高血压脑出血的疗效。方法 在CT定位下,采用小骨窗手术对36例高血压脑出血患者行血肿清除治疗。术后3个月采用日常生活能力(activity of daily living,ADL)量表评价疗效。结果 根据ADL评价结果,Ⅰ级7例,Ⅱ级9例,Ⅲ级10例,Ⅳ级4例,Ⅴ级3例,死亡3例。恢复良好率为72.2%(26/36)。结论 运用小骨窗手术治疗高血压脑出血,是一种简便有效的治疗方法。
关键词:  高血压脑出血  小骨窗  治疗
DOI:10.3969/j.issn.1674-3806.2011.09.24
分类号:R 544.1
基金项目:
Experience of small bone window craniotomy in the treatment of patients with hypertensive intracerebral hemorrhage
CHEN Yong-wei
Department of Surgery,the Red Cross Hospital of Hepu County,Guangxi 536100,China
Abstract:
[Abstract] Objective To explore the therapeutic effect of small bone window craniotomy in the treatment of patients with hypertensive intracerebral hemorrhage. Methods Evacuation of hematoma were performed by small bone window craniotomy under CT orientation in 36 patients with hypertensive intracerebral hemorrhage. Activity of daily living(ADL) was used for evaluating the therapeutic effect three months after operation. Results Evaluated by ADL, ADL GradeⅠwas found in 7 patients, Grade Ⅱ in 9 patients, Grade Ⅲ in 10 patients, Grade Ⅳ in 4 patients, GradeⅤin 3 patients, 3 patients died. The good recovery rate was 72.2%(26/36). Conclusion The small bone window craniotomy is a simple and effective therapeutic method in the treatment of patients with hypertensive intracerebral hemorrhage.
Key words:  Hypertensive intracerebral hemorrhage  Small bone window  Treatment