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目的:探讨锥颅血肿抽吸脑室引流治疗老年人高血压脑出血继发脑室出血的疗效。方法:采用锥颅血 肿抽吸脑室引流治疗破入脑室的老年人高血压脑出血42例,并与同期内科保守治疗的51例对比分析。结果:手术组病死率显著低于保守组(P<0.01),日常生活能力(ADL Ⅰ～Ⅲ)比较,手术组明显优于保守组(P<0.01)。结论:锥颅血肿抽吸脑室引流治疗破入脑室的老年人高血压脑出血,手术创伤小,适应症广泛,疗效良好。
Objective: To investigate the curative effect of intraventricular drainage with cone skull hematoma in the treatment of hypertensive intracerebral hemorrhage secondary to hypertensive intracerebral hemorrhage. Methods: Forty-two hypertensive intracerebral hemorrhage (ICH) patients who had penetrated ventricular drainage with cone cranial hematoma were treated with conservative treatment of internal medicine in the same period. Results: The mortality of the operation group was significantly lower than that of the conservative group (P <0.01). The daily living ability (ADL Ⅰ ~ Ⅲ) was significantly better in the surgery group than in the conservative group (P <0.01). Conclusion: Cone cranial hematoma aspiration of ventricular drainage in the treatment of hypertensive intracerebral hemorrhage cerebral hemorrhage, surgical trauma, a wide range of indications, good effect.