论文部分内容阅读
目的探讨高血压脑出血个体化手术方案的临床效果。方法回顾性分析2015年1月至2015年12月高血压脑出血94例患者的临床资料,依据患者发病时间、意识状况、出血严重程度、部位及GCS评分,给予个体化治疗方案,如常规骨窗开颅血肿清除、微创穿刺引流、脑室外引流等手术方法,总结其治疗结果。结果 94例中存活88例,死亡6例。ADL分级:Ⅰ级18例,Ⅱ级30例,Ⅲ级25例,Ⅳ级12例,Ⅴ级3例。结论高血压脑出血个体化手术方案,可改善患者治疗转归和预后,值得临床推广应用。
Objective To investigate the clinical effect of individualized surgical treatment of hypertensive intracerebral hemorrhage. Methods The clinical data of 94 patients with hypertensive intracerebral hemorrhage from January 2015 to December 2015 were retrospectively analyzed. Individualized treatment regimens were given based on the onset time, consciousness, bleeding severity, GCS score, Window craniotomy hematoma removal, minimally invasive puncture and drainage, extracerebral ventricular drainage and other surgical methods, summed up the results of their treatment. Results 94 cases of survival in 88 cases, 6 cases of death. ADL grade: Ⅰ grade 18 cases, Ⅱ grade 30 cases, Ⅲ grade 25 cases, Ⅳ grade 12 cases, Ⅴ grade 3 cases. Conclusion Individualized hypertensive intracerebral hemorrhage surgery program can improve the outcome of patients with prognosis, it is worthy of clinical application.