目的 :探索研究颅内血肿最佳治疗方法 ,减轻脑组织损伤 ,提高治愈率和成功率。方法 :选择CT片示最大血肿影像层面进行定位 ,以血肿中心距颅板的最近距离为穿刺点 ,局麻下 ,选择合适长度的YL -Ⅰ型一次性使用颅内血肿粉碎穿刺针 ,在手电钻动力驱动下穿透颅骨后 ,用钝头塑料针蕊引导穿刺针至血肿中心 ,对血肿进行抽吸 ,应用血肿冲洗液及血肿液化剂进行冲洗粉碎引流。结果 :高血压脑出血血肿清除率为 80 % 10 0 % ,急性硬膜外和慢性硬膜下血肿清除率 90 % 10 0 % ,血肿清除或基本清除时间 15天。死亡 9例均为高血压脑出血 ,生存患者 3个月后随访 ,用ADL(日常生活能力 )评定疗效。ADL1:外伤性颅内血肿 2 1例 ,高血压脑出血 11例 ,ADL2 :2 1例 ,ADL 3 17例 ;ADL4:4例 ;ADL5 :1例。结论 :应用YL -Ⅰ型穿刺进行微创清除颅内血肿 ,方法简便、定位准确 ,只需局部麻醉 ,不开颅 ,手术时间短 ,对患者创伤极小并应用颅骨自锁定技术 ,不需缝合 ,针型血肿粉碎器 ,利用正压原理 ,在血肿立体空间范围内对血肿进行冲洗引流 ,避免了徒手抽吸颅内压降低引起再出血等 ,并能减少感染机会 ,且医疗费用低 ,病程短 ,患者康复快 ,适于基层医院开展 ,是治疗颅内血肿的一种新途径和首选方法。对于短时间内形成脑疝或合并严重脑挫裂伤 Objective: To explore the best treatment of intracranial hematoma, reduce brain damage, improve the cure rate and success rate. Methods: Select the largest CT image showed hematoma level positioning to the hematoma center distance from the skull plate as the puncture point, under local anesthesia, select the appropriate length of the YL-Ⅰ-type disposable intracranial hematoma crush puncture needle Drill power driven through the skull, with blunt plastic needle core guide needle to the center of hematoma, the hematoma aspiration, the application of hematoma and hematoma fluid hematoma flushing agent for flushing drainage. Results: Hypertensive intracerebral hemorrhage hematoma clearance rate was 80% 100%, acute epidural and chronic subdural hematoma 90% 100%, hematoma clearance or basic clearance time 15 days. All 9 died of hypertensive intracerebral hemorrhage. Survival patients were followed up for 3 months and assessed by ADL (daily living ability). ADL1: 21 cases of traumatic intracranial hematoma, 11 cases of hypertensive intracerebral hemorrhage, ADL2: 21 cases, ADL317 cases; ADL4: 4 cases; ADL5: 1 case. Conclusion: YL-Ⅰ type of puncture for minimally invasive intracranial hematoma removal, the method is simple, accurate positioning, only local anesthesia, no craniotomy, short operative time, minimal trauma to the patient and the application of self-locking craniotomy, without suture , Needle hematoma shredder, the use of positive pressure principle, hematoma in the hematoma space within the scope of the hematoma flushing and drainage, to avoid the free hand to reduce intracranial pressure caused by rebleeding, and can reduce the chance of infection, and low medical costs, duration Short, rapid recovery of patients, suitable for primary hospital, is a new way of treatment of intracranial hematoma and the preferred method. For a short period of time to form herniation or severe cerebral contusion