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采用3种不同手术方式治疗高血压脑出血101例,临床分级Ⅰ,Ⅱ度33例:采用锥颅血肿碎吸术2例,均达良好;钻孔引流注入尿激酶溶解术25例,良好率达88%;小骨窗血肿清除术6例,良好率66.7%。临床分级Ⅲ~Ⅴ度68例:小骨窗血肿清除术良好率57.9%,锥颅血肿碎吸术良好率50%3而尿激酶法良好率43.6%。据此,提出根据不同临床分级选择术式,有利于提高疗效,降低死亡率。
There were 101 cases of hypertensive intracerebral hemorrhage treated by 3 different surgical methods. The clinical grade Ⅰ and Ⅱ degrees were 33 cases. Cone cranial hematoma was used in 2 cases, all of which achieved good results. 25 cases were injected with urokinase by drilling drainage, Up to 88%; small bone window hematoma in 6 cases, a good rate of 66.7%. Clinical grade Ⅲ ~ Ⅴ degree 68 cases: small bone window hematoma removal rate of 57.9% good, cone cranial hematoma broken suction good rate of 50% 3 and urokinase good rate of 43.6%. Accordingly, it is suggested that according to different clinical classification selection surgery is conducive to improving the efficacy and reduce mortality.