[1]赵卫忠,朱明霞,高觉,等.多点锥颅治疗高血压性脑出血[J].中国微创外科杂志,2007,07(7):659-660.
　Zhao Weizhong,Zhu Mingxia,Gao Jue,et al.Treatment of hypertensive cerebral hemorrhage by drilling drainage through multiple holes[J].Chinese Journal of Minimally Invasive Surgery,2007,07(7):659-660.
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多点锥颅治疗高血压性脑出血()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年7期
页码:
659-660
栏目:
出版日期:
2007-07-20

文章信息/Info

Title:
Treatment of hypertensive cerebral hemorrhage by drilling drainage through multiple holes
作者:
赵卫忠; 朱明霞; 高觉; 周祺; 姚澄; 许辉; 徐舒; 刘盛屹
南京中医药大学附属常州中医院神经外科，常州213003
Author(s):
Zhao Weizhong;  Zhu Mingxia;  Gao Jue;  et al.
Department of Neurosurgery, Changzhou Hospital Affiliated to Nanjing Traditional Chinese Medical University, Changzhou 213003, China
关键词:
高血压; 脑出血; 锥颅
Keywords:
Hypertension; Cerebral hemorrhage; Drilling craniotomy
分类号:
R654.1;R743.34
文献标志码:
A
摘要:
目的探讨多点锥颅抽吸引流治疗高血压性脑出血的疗效。方法根据CT不同的出血量采用不同数量的靶点在局麻下进行锥颅抽吸、尿激酶灌注冲洗引流治疗高血压性脑出血67例。结果住院死亡22例（328%），其中4例术后3 d内由于脑干功能衰竭死亡，12例术后合并肺部感染、上消化道出血死亡，6例术后血肿扩大、改行开颅术后死亡。余45例随访10~12个月，以ADL为疗效指标，1级5例，2级9例，3级14例，4级8例，5级3例；随访期间死亡6例，其中2例死于颅内再次出血，3例合并肺部感染死亡，1例死因不明。结论多点锥颅治疗高血压性脑出血，效果满意，尤其适用于出血量较大或年老体弱不能适于开颅手术者。
Abstract:
ObjectiveTo evaluate therapeutic effects of drilling drainage through multiple holes for hypertensive cerebral hemorrhage.MethodsUnder local anesthesia, drilling craniotomy through multiple holes and urokinase irrigation and drainage were performed in 67 cases of hypertensive cerebral hemorrhage. The number of holes was determined by estimated hemorrhagic volume under CT scanning.ResultsTwentytwo cases (32.8%) died in hospital, including 4 cases because of brain stem function failure within 3 days after operation, 12 cases because of pulmonary infection and upper gastrointestinal bleeding, and 6 cases following an open craniotomy for hemorrhage enlargement. The remaining 45 cases were followed up for 10~12 months.On the basis of the Activity of Daily Living (ADL) evaluation, there were 5 cases of grade Ⅰ, 9 cases of grade Ⅱ, 14 cases of grade Ⅲ, 8 cases of grade Ⅳ, and 3 cases of grade Ⅴ diseases.During the followup visits there were 6 fatal cases. Among them 2 cases died of rebleeding, 3 cases died of pulmonary infection, and 1 case succumbed to unknown causes.ConclusionsDrilling drainage through multiple holes for the treatment of hypertensive cerebral hemorrhage is effective. The procedure is suitable for massive hemorrhage or elderly patients that are contraindicated to open craniotomy.

参考文献/References:

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更新日期/Last Update: 2013-12-09