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目的介绍高血压脑深部出血急诊立体定向置管,择期血肿外引流治疗。方法选择血肿有扩大倾向或血肿占位明显、脑功能障碍者,入院后急诊立体定向血肿置管,在颅内压增高不能耐受和脑功能明显障碍时立即开放引流管行血肿外引流治疗;颅内压增高尚处代偿期的患者,延期行血肿外引流。结果本组45例术后按GOS分级恢复良好和轻残27例(60．0％),中残14 例(31．1％),重残1例(2．2％),死亡3例(6．7％)。术中病灶无再出血,术后出血灶少量再出血3 例。结论高血压脑深部出血急诊立体定向置管,择期血肿外引流,疗效好,术中术后出血灶再出血少。
Objective To introduce stereotactic catheterization of hypertensive brain deep hemorrhage and elective hematoma drainage. Methods Hematoma expansion or obvious hematoma occupancy, brain dysfunction, emergency stereotactic hematoma after admission to hospital, increased intracranial pressure intolerance and brain dysfunction immediately open drainage tube hematoma drainage treatment; Increased intracranial pressure is still compensatory patients, extension of hematoma drainage outside. Results In the 45 cases of this group, 27 cases (60.0%) were recovered according to the GOS grading, 14 cases (31.1%) had severe disability, 1 case (2.2%) severe disability and 3 cases died 6.7%). Intraoperative lesion no more bleeding, bleeding after a small amount of hemorrhage in 3 cases. Conclusion Hypertensive brain hemorrhage emergency stereotactic catheterization, elective hematoma drainage, good effect, intraoperative and postoperative hemorrhage less bleeding.