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目的 评估高血压性脑出血的早期外科手术治疗效果。方法 分析 6 0例高血压性脑出血患者的临床资料。结果 死亡 5例。患者出院后随访 6～ 12个月 ,其生存质量按日常生活能力ADL分级标准[1] :完全恢复日常生活 (ADLⅠ级 ) 8例 ;部分恢复或可独立生活 (ADLⅡ级 ) 2 5例 ;需人帮助 ,扶拐可走(ADLⅢ ) 2 0例 ;卧床 ,有意识 (ADLⅣ级 ) 2例。结论 早期小骨窗开颅手术是比较理想的治疗高血压性脑出血的方法
Objective To evaluate the effect of early surgical treatment of hypertensive intracerebral hemorrhage. Methods The clinical data of 60 hypertensive intracerebral hemorrhage patients were analyzed. 5 patients died. Patients were followed up for 6 to 12 months after discharge, and their quality of life according to ADL grading standards for daily living [1]: 8 patients with ADL grade Ⅰ completely recovered, 25 patients with partial or independent living (ADL Ⅱ grade) People help, abduction walk (ADL Ⅲ) 20 cases; bed, conscious (ADL Ⅳ level) in 2 cases. Conclusion Early small window craniotomy is an ideal way to treat hypertensive intracerebral hemorrhage