{"title":"显微外科治疗高血压脑出血合并脑室内出血的疗效评价","authors":"向进, 郭伟, 王莉莉, 杨地, 吕文","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.06.015","DOIUrl":null,"url":null,"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。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"9 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2006-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of microsurgery treatment for hypertensive cerebral hemorrhage with intraventricular hemorrhage\",\"authors\":\"向进, 郭伟, 王莉莉, 杨地, 吕文\",\"doi\":\"10.3760/CMA.J.ISSN.1008-634X.2006.06.015\",\"DOIUrl\":null,\"url\":null,\"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。\",\"PeriodicalId\":189947,\"journal\":{\"name\":\"Journal of Modern Clinical Medical Bioengineering\",\"volume\":\"9 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2006-12-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Modern Clinical Medical Bioengineering\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.06.015\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Modern Clinical Medical Bioengineering","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.06.015","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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