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32例高血压脑出血患者采用颅内血肿穿刺针、针形血肿粉碎器、血块液化技术治疗。结果 2 6例意识障碍者 ,术后 2 2例转清醒 (2 2 /2 6 ,84.6 2 % ) ,GCS评分提高 2分。 32例中 ,发病至手术时间≤ 7小时死亡率 33.3% ,7～ 2 4小时者1 3.3% ,2 4～ 48小时无 1例死亡。 32例中 ,4例死亡 ,病死率 1 2 .5 %。 5例再出血者均为发病≤ 7小时手术病例。认为本术式能使大多数意识障碍者转清醒。手术宜在 7～ 48小时 ,特别是 2 4～ 48小时行手术 ,疗效较佳。本文对手术时机及适应症 ,结合文献进行讨论
Thirty-two patients with hypertensive intracerebral hemorrhage were treated with intracranial hematoma needle, needle-shaped hematoma shredder and clot liquefaction technique. Results 26 cases of impaired consciousness were awakened after 2 2 cases (2 2/2 6, 84.6 2%), and GCS score increased by 2 points. In 32 cases, the morbidity was 33.3% after the onset of operation ≤ 7 hours, 13.3% after 7 ~ 24 hours, and no death occurred within 24-48 hours. Among the 32 cases, 4 died, with a mortality rate of 12.5%. 5 cases of rebleeding were less than 7 hours incidence of surgical cases. Think this technique can make most people with consciousness get awake. Surgery should be in 7 to 48 hours, especially 24 to 48 hours surgery, better effect. This article on the timing of surgery and indications, combined with the literature to be discussed