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脑出血的治疗至今尚无统一认识,众说纷坛,主张外科治疗者认为,清除血肿可以降低颅内高压;可以减轻局部压力和血肿降的产物引起的血肿周围脑组织的损伤;超早期手术可以预防或减轻脑水肿,防止急性期再出血。持反对意见者认为,血肿引起的神经组织破坏是非可逆性的;外科手术会引起进一步的脑组织损害;超早期手术并不能预防脑水肿。随着损伤性小的手术方法的介入,如CT立体立向血肿清除术,内窥镜超声导血肿清除术等,使脑出血的治疗方法选择更难决定。本文综述近几年脑出血治疗的研究。并对其评价,试图寻找脑出血的有效治疗方法和为进一步研究提供一些意见。
The treatment of cerebral hemorrhage so far there is no uniform understanding, public forum, advocates of surgical treatment that the removal of hematoma can reduce intracranial hypertension; can reduce the local pressure and hematoma products caused by damage to the brain around the hematoma; ultra-early surgery can Prevent or reduce brain edema, to prevent further bleeding in acute phase. Those who disagree with the view that the hematoma caused by nerve tissue damage is irreversible; surgery can cause further damage to brain tissue; ultra-early surgery does not prevent cerebral edema. With the intervention of small invasive surgical methods, such as CT stereotactic hematoma removal, endoscopic ultrasound guided hematoma removal, so that the choice of treatment of cerebral hemorrhage more difficult to decide. This article summarizes the recent studies on the treatment of cerebral hemorrhage. And evaluate them, trying to find effective treatment of cerebral hemorrhage and provide some advice for further research.