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报告我院连续20个月收治的高血压脑出血856例,死亡132例(15.42％)。其中开颅血肿清除者100例死亡34例(34％),对影响开颅血肿清除手术治疗效果的因素进行分析。结果:超早期手术病死率18.75％明显低于8～24小时手术病死率(41.86％);皮层下血肿手术病死率5.26％比丘脑血肿(53.85％)低;意识障碍越重,预后越差;必要时去骨瓣减压,持续脑室外引流对改善预后有益。本文还简述了高血压脑出血的治疗原则。
Report of our hospital for 20 consecutive months of hypertensive intracerebral hemorrhage 856 cases, 132 patients died (15.42%). Among them, 100 patients died of craniotomy hematoma 34 patients (34%) died of craniotomy hematoma removal of surgical treatment of the factors were analyzed. Results: The mortality of ultra-early surgery was 18.75%, lower than that of 8-24 hours (41.86%). Surgical mortality rate of subcortical hematoma was 5.26% (53.85%). The heavier disturbance of consciousness had worse prognosis. If necessary, decompression of the bones should be continued to improve the prognosis. This article also briefly describes the principle of treatment of hypertensive intracerebral hemorrhage.