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33例高血压性脑出血行外科治疗,早期和超早期手术共20例,死亡3例,死亡率为15%,而延缓手术13例,死亡5例,死亡率为38.5%。我们认为,要提高高血压脑出血的手术疗效,必须严格掌握手术适应证,对有手术适应证的患者尽早实施手术.根据不同的血肿类型,选择不同的手术方法,力求探索简单有效的手术方法。手术后综合治疗,加强护理,积极预防和抢救并发症是降低死亡率和致残率的关键。
Thirty-three patients with hypertensive intracerebral hemorrhage underwent surgical treatment. There were 20 cases of early and ultra-early surgery, 3 died, the mortality rate was 15%, and delayed surgery in 13 cases, 5 deaths, the mortality rate was 38.5%. We believe that to improve the surgical efficacy of hypertensive intracerebral hemorrhage, surgical indications must be strictly controlled and patients with surgical indications should be operated as soon as possible. According to different types of hematoma, choose different surgical methods, and strive to explore simple and effective surgical methods. Postoperative comprehensive treatment, intensive care, and active prevention and treatment of complications are the key to reducing mortality and morbidity.