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目的:观察双管冲洗治疗老年高血压性巨大颅内血肿的临床疗效。方法:选择老年高血压性巨大颅内血肿56例,随机分为观察组30例与对照组26例。两组病例均在CT引导下穿刺置管,观察组采用双管冲洗,对照组采用传统双管闭式引流,比较两组临床疗效。结果:观察组均在术后7天内拔管,对照组在术后7天内拔管仅4例,两组比较,差异非常显著(P<0.01);观察组颅内压恢复至正常时间(2.50±1.37)天,对照组为(4.22±1.39)天,两组比较,差异显著(P<0.05)。结论:双管冲洗清除颅内血肿效果优于传统双管闭式引流。
Objective: To observe the clinical efficacy of double-tube irrigation in treatment of hypertensive intracranial hematoma in the elderly. Methods: A total of 56 hypertensive giant intracranial hematomas were randomly divided into observation group (30 cases) and control group (26 cases). Two groups of patients were punctured under the guidance of CT catheter, the observation group with double-tube irrigation, the control group with the traditional double-tube closed drainage, the clinical efficacy of the two groups were compared. Results: The observation group was extubated within 7 days after operation, while the control group extubated only within 4 days after operation. The difference between the two groups was significant (P <0.01). The intracranial pressure returned to normal in the observation group (2.50 ± 1.37) days, the control group was (4.22 ± 1.39) days, the difference between the two groups was significant (P <0.05). Conclusion: Double-tube irrigation is superior to traditional double-tube closed drainage in removing intracranial hematoma.