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目的：研究立体定向超早期和早期血肿抽吸术治疗高血压脑出血的疗效。方法：通过ＣＴ导向立体定向血肿抽吸术治疗高血压脑出血患者１６３例，其中男１１６例，女４７例；年龄２８～８１岁，平均５４．５５岁。超早期抽吸４７例，早期抽吸５４例，延期抽吸６２例。结果：１６３例患者中存活１２９例，其中良好５６例（超早期２８例，早期１９例，延期９例），轻残３５例（超早期９例，早期１３例，延期１３例），中残２２例（超早期５例，早期８例，延期９例），重残１２例（早期３例，延期９例），植物生存４例均为延期手术者；死亡３４例，总病死率２０．８６％（超早期１０．６４％，早期２０．３７％，延期２９．０３％）。结论：定向超早期血肿抽吸术治疗高血压脑出血的疗效优于早期和延期血肿抽吸术；高血压脑出血患者应尽量争取超早期作定向血肿抽吸术，这对防止血肿压迫脑组织及血液分解产物对脑实质的不可逆性损害或产生脑水肿，降低病死率，提高生存质量都具有重要意义。
Objective: To study the effect of stereotactic ultra-early and early hematoma aspiration in treatment of hypertensive intracerebral hemorrhage. Methods: 163 cases of hypertensive intracerebral hemorrhage were treated by CT guided stereotactic aspiration, including 116 males and 47 females, aged from 28 to 81 years with an average age of 54.55 years. Extra-early aspiration of 47 cases, 54 cases of early aspiration, delayed aspiration 62 cases. Results: Of the 163 patients, 129 patients survived, of which 56 were good (28 in the early stage, 19 in the early stage, 9 in the early stage), 35 in the last stage (9 in the early stage, 13 in the early stage and 13 in the early stage) 22 cases (ultra early 5 cases, early 8 cases, postponed 9 cases), severe disability in 12 cases (early 3 cases, postponed 9 cases), 4 cases of plant survival were delayed surgery; 34 cases of death, the total case fatality rate of 20. 86% (ultra early 10.64%, early 20.37%, postponed 29.03%). CONCLUSION: Directional ultra-early hematoma aspiration is superior to early and delayed hematoma aspiration in patients with hypertensive intracerebral hemorrhage. Patients with hypertensive intracerebral hemorrhage should strive for ultra-early targeted hematoma aspiration, And hematological decomposition products on the brain parenchyma irreversible damage or brain edema, reduce mortality and improve the quality of life are of great significance.