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高血压性脑出血,是一种死亡率相当高的急性脑血管疾病,国内外学者多数主张对中等量以上的脑出血患者尽早清除血肿,以迅速地减少局部压力及血肿降解产物引起的血肿周围脑组织的损害,使病人度过脑水肿高峰期,以提高存活率及生存质量。传统外科开颅清除血肿手术,技术上困难,死亡率及致死率高,不适用于高龄及危重病人以及脑的深部血肿等。近2年来,我们改良出一种简便的床边经皮钻颅血肿抽吸法,治疗高血压性脑出血45例,取得了良好的疗效。
Hypertensive intracerebral hemorrhage is a kind of acute cerebrovascular disease with high mortality rate. Many scholars at home and abroad advocate the early removal of hematoma in patients with moderate or severe cerebral hemorrhage to rapidly reduce the local pressure and hematoma caused by hematoma degradation products Brain tissue damage, so that patients spend the peak cerebral edema, to improve survival and quality of life. Traditional surgical craniotomy to remove hematoma surgery, technical difficulties, high mortality and fatality rate, does not apply to the elderly and critically ill patients and deep brain hematoma and so on. The past two years, we have improved a simple bed percutaneous hematoma aspiration, treatment of 45 cases of hypertensive intracerebral hemorrhage, and achieved good results.