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高血压性壳核脑出血约占大脑半球脑出血的80％以上,其致死率、致残率均较高。治疗效果不尽满意,尤其发生在优势半球壳核脑出血,术后常不可避免遗留失语、偏瘫,给社会及家庭带来很大负担。本组对20例高血压性壳核出血经颞叶穿刺引流并用颞肌下减压术,对克服术后偏瘫、失语起到一定积极作用,现报告如下: 临床资料患者男12例,女8例,年龄37～454例,45～55岁6例,55～65岁8例,65岁以上者2例。术前血压:收缩压在24kPa以上者17例,其中3例超过30kPa,舒张压在15kPa以上者15例。意识障碍中度昏迷7例,浅昏迷11例,嗜睡2例。一侧病理反射15例,双侧病理反射4例,发生天幕疝者3例。全部病例术前术后均经头部CT检查,左侧壳核出血9
Hypertensive hypothalamic hemorrhage accounts for about 80% of cerebral hemispheric hemorrhage, the mortality and morbidity are higher. Treatment is not satisfactory, especially in the dominant hemisphere shell nucleus hemorrhage, often inevitably left behind aphasia, hemiplegia, to the community and their families a great burden. The group of 20 cases of hypertensive hypsidium bleeding through temporal lobe drainage and temporal muscle decompression, to overcome postoperative hemiplegia, aphasia played a positive role, are as follows: Clinical data of 12 males and 8 females Cases, aged 37 to 454 cases, 45 to 55 years in 6 cases, 55 to 65 years in 8 cases, 65 years of age in 2 cases. Preoperative blood pressure: systolic blood pressure in more than 24kPa in 17 cases, of which 3 cases over 30kPa, diastolic blood pressure in 15kPa 15 cases. 7 cases of unconscious consciousness coma, shallow coma in 11 cases, drowsiness in 2 cases. Side of pathological reflex in 15 cases, bilateral pathological reflex in 4 cases, occurred in 3 cases of canopy hernia. All cases were preoperative and postoperative head CT examination, left putamen bleeding 9