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鉴于显著的自发性脑内血肿(SICHs)可产生的占位效应和具有化学特性的脑组织损伤,故对血凝块的清除和对颅内高压的治疗似乎是合理的。血肿清除应及时简便,危险性低,成功率高且费用低;而术中或术后对颅内压的监测和治疗亦很有裨益。本文就此进行了文献复习。1 开颅术 随着经颞叶和经侧裂达基底节及丘脑手术的发展,对SICHs的外科治疗已逐渐变得容易。现代技术包括常规采用显微外科,术中
In view of the mass-bearing effects that can be produced by significant spontaneous intracerebral hematomas (SICHs) and the chemical damage of brain tissue, it seems plausible to remove blood clots and treat intracranial hypertension. Hematoma should be prompt and easy to remove, low risk, high success rate and low cost; and intraoperative or postoperative monitoring and treatment of intracranial pressure is also very useful. This article conducted a literature review. 1 craniotomy With temporal and lateral degeneration of the basal ganglia and thalamic surgery, the surgical treatment of SICHs has gradually become easy. Modern techniques include the routine use of microsurgery, intraoperative