Application of straight incision small bone flap craniotomy in the treatment of cerebral hemorrhage in 44 cases with hypertension
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摘要: 目的：探讨直切口小骨瓣开颅在高血压脑出血治疗中的临床疗效。方法：对44例高血压脑出血患者行直切口小骨瓣开颅血肿清除术，观察疗效。结果：术后12～48 h行头颅CT复查，36例血肿基本全清除，5例少量残留，2例半数残留，1例过半残留。住院期间2例再次出血行二次手术，3例因病情危重家属放弃治疗，自动出院；1例术后并发严重肺部感染，治疗无效死亡。术后随访6～12个月，按日常生活能力评分评定预后：Ⅰ级16例，Ⅱ级11例，Ⅲ级9例，Ⅳ级4例。结论：直切口小骨瓣开颅手术治疗高血压脑出血，具有创伤小、止血彻底、继发脑损害小、日常生活能力恢复好等优点，临床效果可靠。Abstract: Objective: To explore the clinical effects of straight incision small bone flap craniotomy in the treatment of hypertensive cerebral hemorrhage.Methods: Forty-four patients with hypertensive cerebral hemorrhage were treated with straight incision small bone flap craniotomy to evacuated the hematoma.The therapeutic effects were evaluated.Results: The hematoma disappearance in 36 cases,a small amount of residual hematoma in 5 cases,half residual hematoma in 2 cases and over half residual hematoma in 1 case were found by brain CT scan within 12 to 48 h after operation.Two cases were operated again because of rebleeding,3 cases gave up treatment and discharged,and 1 case died from pulmonary infection.All patients were followed up for 6 to 12 months,grade Ⅰ in 16 cases,grade Ⅱ in 11 cases,grade Ⅲ in 9 cases and grade Ⅳ in 4 cases were found according the score of activity of daily life.Conclusions: Straight incision small bone flap craniotomy for treating hypertensive cerebral hemorrhage is little trauma,quite hemostasis,less secondary brain impair and good daily capacity recovery,the clinical effect is reliable.
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Keywords:
- cerebral hemorrhage /
- hypertension /
- straight incision /
- small bone flap craniotomy
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