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目的：分析老年人高血压脑出血临床特点，探讨其外科治疗的预后。方法：采用局麻下小骨窗开颅血肿清除术、尿激酶引流术、ＣＴ引导立体定向血肿排空术，以此３种术式治疗老年人高血压脑出血１７９例，并与同期手术１３６例非老年患者进行比较。结果：经６个月～１１年随访，老年组ＡＤＬ１－３级１３８例（７７．１％），死亡４１例（２２．９％）；非老年组ＡＤＬ１－３级分别为１００例（７６．１％）及２８例（２１．８％），两组差异无显著性（χ２检验Ｐ值＞０．０５）。结论：年龄不再是决定手术与否的主要条件，关键是加强对术后并发ＭＯＦ（多脏器衰竭）及早防治才有效，才是提高生存质量的保证
Objective: To analyze the clinical features of hypertensive intracerebral hemorrhage in the elderly and explore the prognosis of surgical treatment. Methods: 179 cases of hypertensive intracerebral hemorrhage in the elderly were treated with three kinds of surgical procedures under the guidance of craniotomy, urokinase drainage and CT guided stereotactic hematoma evacuation under local anesthesia. In addition, 136 cases Non-elderly patients were compared. Results: After 6 months to 11 years of follow-up, 138 (77.1%) were ADL1-3 and 41 (22.9%) were ADL1-3 in the elderly group and 100 (76.0%) in the non-elderly group respectively. 1%) and 28 cases (21.8%). There was no significant difference between the two groups (P value of χ2 test> 0.05). CONCLUSIONS: Age is no longer the main condition for determining whether to operate or not. The key is to strengthen the early prevention and treatment of postoperative MOF (multiple organ failure), which is the guarantee to improve the quality of life