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目的探讨晚期高血压脑出血有效手术治疗措施。方法对３２例晚期高血压脑出血患者（ＩＶ级）采取去大骨瓣减压，骨窗尽量向颅底侧扩大，清除血肿尽量彻底，破入脑室者敞开脑室，并抬起脑叶，还纳疝下的脑组织，吸除颅底特别是幕孔区血性脑脊液，术后早期腰穿，预防并发症。结果术后存活１８例，死亡１４例（４３７５％），主要死于严重的并发症。结论对晚期高血压脑出血患者，该手术治疗方法有利于挽救生命，提高存活率。
Objective To investigate the effective surgical treatment of hypertensive intracerebral hemorrhage. Methods Twenty-two patients with hypertensive intracerebral hemorrhage (IV grade) were treated with decompressive craniectomy. The bone window was expanded to the base of skull as far as possible, and the hematoma was cleared as far as possible. The ventricle broke open and ventricular lobes were erupted, Hernia under the brain tissue, suction skull base especially in the area of bloody cerebrospinal fluid, postoperative early lumbar puncture, to prevent complications. Results Postoperative survival in 18 cases, 14 patients died (4375%), mainly due to serious complications. Conclusion For patients with hypertensive intracerebral hemorrhage, the surgical treatment is conducive to saving lives and increasing the survival rate.