论文部分内容阅读
采用ＣＴ导向立体定向血肿抽吸术治疗高血压脑出血３３２例，结果生存２６４例（７９．５％），死亡６８例（２０．５％），其中超早期血肿组１００例中生存９０例，死亡１０例；早期组１０８例中，生存８６例，死亡２２例；延期组１２４例中，生存８８例，死亡３６例。经统计学处理表明，超早期血肿定量抽吸术后病死率明显低于早期组与延期组，生存质量明显高于延期组。作者认为，ＣＴ导向立体定向血肿抽吸术治疗高血压脑出血，具有操作简便、精确、安全，适合于脑深部及脑干等部位，也适合老年或全身状况差及危重病人的抢救。
A total of 332 cases of hypertensive intracerebral hemorrhage were treated with CT guided stereotactic aspiration, with 264 cases (79.5%) surviving and 68 cases (20.5%) surviving hypertensive cerebral hemorrhage, of which 90 cases were survived in ultra early hematoma group, Among the 108 cases in the early group, 86 survived and 22 died. Of the 124 cases in the deferred group, 88 survived and 36 died. The statistical analysis showed that mortality after ultra-early hematoma quantitative aspiration was significantly lower than the early group and the postponement group, the quality of life was significantly higher than the postponement group. The authors believe that CT-guided stereotactic hematoma aspiration treatment of hypertensive intracerebral hemorrhage, with simple, accurate, safe, suitable for deep brain and brain stem and other parts of the body is also suitable for elderly or poor general condition and critically ill patients.