论文部分内容阅读
目的探讨硬通道钻颅脑内血肿穿刺抽吸引流术治疗急性脑出血的疗效。方法290例急性脑出血患者治疗组发病至治疗时间为7～24h,靶点设在血肿最大层面的外1/3与后1/3交叉处,进行硬通道钻颅脑内血肿穿刺抽吸引流术,术中术后控制血压,分别于入院后2、4周时按统一标准进行神经功能缺损评分,并与265例常规内科保守治疗对照组进行比较。结果治疗组总有效率67.24%,病死率18.87%,与对照组相比,有显著性差异(P<0.01)。结论用硬通道钻颅脑内血肿穿刺抽吸引流术治疗急性脑出血,临床效果明显优于常规内科保守治疗。
Objective To evaluate the curative effect of intracranial hematoma puncture and suction drainage in the treatment of acute cerebral hemorrhage. Methods 290 patients with acute cerebral hemorrhage in the treatment group onset to treatment for 7 ~ 24h, the target located at the outermost 1/3 of the hematoma and the latter 1/3 of the cross, the hard intracranial cranium intracranial hematoma aspiration drainage Intraoperative and postoperative control of blood pressure, neurological deficit score according to a uniform standard at 2,4 weeks after admission, and with 265 cases of conventional conservative treatment control group were compared. Results The total effective rate was 67.24% and the mortality rate was 18.87% in the treatment group, which was significantly different from the control group (P <0.01). Conclusion The use of hard channel drilling intracranial hematoma aspiration drainage for the treatment of acute intracerebral hemorrhage, the clinical effect was significantly better than conventional medical conservative treatment.