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目的:对接受颅内血肿碎吸术治疗的脑出血病人进行方法上的探讨和疗效评估。方法:采用简易立体定向,用有槽手椎椎通颅,植入碎吸管,抽吸、碎吸到原血肿量40%~60%,放入硅胶引流管引流,并根据引流情况配合采用血肿腔内注入尿激酶夹管后引流。结果:35例经治病人有效率较经保守治疗的对照组高,病死率较对照组低,经χ2检验有显著性差异。结论:对重症脑出血病人药物保守治疗效果差,采用锥颅穿刺碎吸术治疗脑出血可提高疗效,且手术简便,对病人损伤少,尤其适用年老体弱的病人,适应症广,有应用和推广价值。
Objective: To investigate the methodological evaluation of the patients with intracerebral hemorrhage treated by intracerebral hemorrhage. Methods: A simple stereotactic orientation was performed with a slotted vertebrae cranial and implanted into a suction pipette. The original hematoma was aspirated and shredded to 40% -60% of the original hematoma volume and placed in a silicone drainage tube for drainage. The hematoma was used according to the drainage Intracavitary injection of urokinase after drainage. Results: The effective rate of 35 cases of treated patients was higher than that of the conservative treatment group, and the mortality was lower than that of the control group. There was a significant difference by χ2 test. Conclusion: The conservative treatment of patients with severe intracerebral hemorrhage is poor, and the treatment of intracerebral hemorrhage with cone craniotomy can improve the curative effect, and the operation is simple and less damage to patients, especially for the elderly and infirm patients. Application and promotion value.