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目的：研究采用颅内碎吸治疗高血压性脑出血的临床效果。方法：颅内碎吸治疗高血压性脑出血４０例，并与常规治疗３１例进行比较。结果：颅内碎吸治疗组血肿减少５０％，可明显降低颅内压；血肿吸收率较常规治疗组快１０倍（７．１５±３．１ｍｌ／ｄ、０．６９±０．４ｍｌ／ｄ；Ｐ＜０．０１）；术后１２ｈ血压稳定（收缩压≤２１ｋＰａ，平均动脉压≤１６ｋＰａ，舒张压≤１３ｋＰａ）；术后２周，肺部感染、上消化道出血、心律紊乱的发生率明显减少（Ｐ＜０．０１）。结论：颅内碎吸治疗能明显降低急性期高血压性脑出血的病死率。
Objective: To study the clinical effect of using intracranial shred to treat hypertensive intracerebral hemorrhage. Methods: 40 cases of hypertensive intracerebral hemorrhage treated by intracranial sucking suction were compared with 31 cases of routine treatment. Results: Intracranial aspiration treatment reduced the intracranial pressure by 50% in the hematoma treated group. The hematoma absorption rate was 10 times faster than that in the conventional treatment group (7.15 ± 3.1ml / d, 0.69 ± 0.4ml / d ; P <0.01); blood pressure was stable at 12h after operation (systolic pressure≤21kPa, mean arterial pressure≤16kPa and diastolic pressure≤13kPa); incidence of pulmonary infection, upper gastrointestinal bleeding and cardiac arrhythmia Significantly reduced (P <0.01). Conclusion: Intracranial suction therapy can significantly reduce the mortality of acute hypertensive intracerebral hemorrhage.