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目的:探讨具备绝对手术适应证的危重脑出血的保守治疗方法。方法:对37例危重且具备手术治疗绝对适应证的脑出血患者进行加强保守治疗,以保存生命为首要目的。结果:治疗后功能恢复以ADL分级,Ⅲ级4例;Ⅳ级例;Ⅴ级3例;死亡11例,其中幕下出血死亡3例;幕上出血死亡8例;死亡病例中由于多脏器衰竭死亡2例;合并心肌梗塞死亡1例,中途中放弃治疗出院者3例,不计放弃治疗者,余36例中30d存活率60.9%。结论:对危重脑出血病人合理强化治疗可有效地降低死亡率及致残程度。
Objective: To explore the conservative treatment of critical cerebral hemorrhage with absolute surgical indications. Methods: 37 cases of critically ill patients with cerebral hemorrhage who had absolute indications of surgical treatment should be given conservative treatment to save their lives. Results: After treatment, functional recovery was graded by ADL, with Grade Ⅲ in 4 cases, Grade Ⅳ in Grade Ⅲ and GradeⅤ in 3 cases, with 11 deaths, of which 3 were bleeding from the infratentorial site, 8 were bleeding from the supratentorial tract, 8 due to multiple organ failure 2 died; 1 died of myocardial infarction, 3 patients gave up treatment in the middle of the treatment, regardless of giving up treatment, the remaining 36 cases 30d survival rate of 60.9%. Conclusion: Reasonable intensive treatment of patients with critical cerebral hemorrhage can effectively reduce mortality and disability.