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近年文献报道CT定位颅骨钻孔穿刺血肿抽吸注入尿激酶治疗高血压脑出血获得较好疗效,我科用此方法治疗30例,报告如下。临床资料本组30例高血压脑出血中,男性21例,女性9例。年龄40岁以下2例,41～50岁7例,51～60岁14例,61～70岁7例。主要临床表现:昏迷10例,意识混浊5例,失语16例,中枢性面瘫28例,肌力0～1级17例,Ⅰ～Ⅲ级3例。有10例因昏迷较深无法测定。本组病例均做了CT扫描,出血部位基底节为17例,丘脑10例,脑叶3例,其中血肿破
In recent years, it has been reported in the literature CT puncture skull drilling puncture hematoma suction injection of urokinase for hypertensive intracerebral hemorrhage to obtain better curative effect, our department treated with this method in 30 cases, the report is as follows. Clinical data of 30 cases of hypertensive intracerebral hemorrhage, 21 males and 9 females. Two patients under 40 years of age, 41 to 50 years in 7 cases, 51 to 60 years in 14 cases, 61 to 70 years in 7 cases. The main clinical manifestations: coma in 10 cases, 5 cases of confusion, aphasia in 16 cases, 28 cases of central facial paralysis, muscle strength of 0 to 1 in 17 cases, Ⅰ ~ Ⅲ grade in 3 cases. There are 10 cases can not be determined because of coma. The patients were done CT scan, the bleeding site of the basal ganglia was 17 cases, 10 cases of thalamus, 3 cases of brain lobe, which hematoma broken