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对89例自发性脑出血病例进行“CT定位钻颅血肿抽吸引流术”治疗,死亡率为33.7%,与对照组比较有显著差异P<0.005);在降低脑扇形成者及全脑室积血者死亡率方面较对照组优越(P<0.05);在提高存活者生存质量方面亦较对照组更有效(P<0.005)。对病情分级为Ⅳb~V级病例应尽早行血肿抽吸治疗,使一部分病人不失时机的得到挽救,而延期手术虽不增加手术死亡率,但对降低脑出血总的死亡率无实际抢救意义。血肿腔内注射麻黄素和尿激酶可望局部止血和溶解血凝块。脑室积血较多者同时行脑室引流,术后多次腰穿放液,以缓解中脑导水管上下两端的压力,促进脑脊液循环。
89 cases of spontaneous intracerebral hemorrhage cases were treated with “CT aspiration drilling drainage hematoma drainage” treatment, the mortality rate was 33.7%, compared with the control group were significantly different P <0.005); in the reduction of cerebral fan formation (P <0.05), and more effective than the control group (P <0.005) in improving the quality of life of survivors. Grading of IVb ~ V grade patients should be treated with aspiration of hematoma as soon as possible, so that part of the patients lost the opportunity to be rescued, while the postoperative extension of surgery does not increase the mortality rate, but to reduce the overall mortality rate of cerebral hemorrhage no practical significance of the rescue. Hematoma cavity injection of ephedrine and urokinase is expected to stop bleeding and local blood clots. More ventricular hemorrhage at the same time intraventricular drainage, multiple postoperative lumbar puncture fluid to relieve pressure in the upper and lower middle cerebral aqueduct to promote cerebrospinal fluid circulation.