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应用锥颅穿刺血肿抽吸,引流术治疗高血压性脑出血59例。本组血肿量28至127ml。平均59ml。发病至抽吸时间6小时至5天,平均2天。。抽吸清除血肿量约60%~80%。根据残留的血肿量决定从植入引流管注入尿激酶以溶解血凝块引流清除。结果本组有12例在抽吸后12小时有进步。神经功能缺损积分减少6.8分。7天后神经功能缺损积分减少144分,12例死亡。42例存活病例随访半年,显著进步73%。本组有7例出血量大并发脑疝。在发病后6~12小时内接受治疗。效果满意。说明发病后6~7小时尽早抽吸治疗为好
The application of cone skull puncture hematoma aspiration, drainage for the treatment of hypertensive intracerebral hemorrhage in 59 cases. The amount of hematoma in this group 28 to 127ml. Average 59ml. The incidence of aspiration to 6 hours to 5 days, an average of 2 days. . Aspiration to remove the hematoma about 60% to 80%. According to the amount of residual hematoma injection from the implantation of urokinase to dissolve the clot drain drainage. Results In this group, 12 patients progressed 12 hours after aspiration. Neurological deficit score decreased by 6.8 points. Seven days later, the score of neurological deficit decreased 144 points and 12 died. Forty-two surviving cases were followed up for six months, a significant improvement of 73%. This group of 7 cases of large amount of bleeding complicated by cerebral hernia. Within 6 to 12 hours after onset of treatment. Satisfactory results. 6 to 7 hours after onset aspiration aspiration as soon as possible