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目的研究高血压脑出血手术清除血肿的时机及方法。方法对比研究高血压脑出血超早期小骨窗开颅血肿清除治疗与超早期常规开颅及非超早期血肿清除各 40例的颅内压 (ICP)及GCS评分的差异有无显著性。结果超早期小骨窗开颅血肿清除组 (Ⅰ组 )与超早期常规开颅血肿清除组 (Ⅱ组 )术后ICP无显著性差异 (P >0 .0 5 )。超早期小骨窗开颅血肿清除组 (Ⅲ组 )与延期血肿清除组术后GCS评分有显著性差异 (P <0 .0 1)。结论超早期血肿清除骨窗大小并不是影响颅内压的主要措施 ,尽早清除血肿可明显提高患者的生存质量
Objective To study the timing and method of hematoma in patients with hypertensive intracerebral hemorrhage. Methods Compare the intracranial pressure (ICP) and GCS scores of hypertensive intracerebral hemorrhage (ESH) with ultra-early small skull window craniotomy in 40 cases of early craniotomy and non-early hematoma removal. Results There was no significant difference in postoperative ICP between ultrathin small craniotomy (Ⅰ group) and ultra early craniotomy (Ⅱ group) (P> 0.05). There was a significant difference (P <0.01) in the postoperative GCS score between the early small skull window craniotomy group (group Ⅲ) and the delayed hematoma clearance group. Conclusion Ultra-early hematoma removal of bone window size is not the main measure of intracranial pressure, as soon as possible to clear the hematoma can significantly improve the quality of life of patients