高血压脑出血手术时机的选择.pdfVIP

· 702 · 四川医学2008年6月第29卷(第6期) SichuanMedtcal Journal，2008，Vo1．29，No．6 论著 高血压脑出血手术时机的选择 金祝华 ，匡永勤 ，曾 力 ，钟亚杰 (1．成都市新华人民医院神经外科，四川成都610066；2成都军区总医院{中经外科，四川 成都 610083) 【摘要】 目的 研究高血压脑出血患者的最佳手术时机。方法 回顾性分析经手术治疗的高血压脑出血患者135 例，按发病至手术时间分为超早期组、早期组和延迟组，与各组间的疗效比较。结果 超早期组患者意识恢复快，优良率 高，并发症发生率、病死率低，术后再出血率未见增加。结论 超早期手术治疗高血压脑出血的临床疗效显著，对有手术 指征的患者应积极争取超早期手术。 【关键词】 高血压脑出血；手术时机；超早期手术 【中图分类号】R 743．34 【文献标识码】 A 【文章编号】 1004．0501(2008)06—0702—02 Clincal research of surgery for hyupertensive intracerebral hemorrhage．jfN Zhu—h z．~z L I KUANG Yong-qinz，ZENG Li!l et a1． 1．Department of neurosurgeryI Chengdu Xinhua Peoples HospitalI Chengdu·Sichuan 610066；2．Department of rteurosttrg~~，Chengdu Military Generaf HospitalIChengdu，Siehuan 610083，China 【Abstract】 Objective To research on patients with hypertensive intracerebral hemorrhage surgical timing．Methods Retro— spective analysis of 135 patients with hypertensive intraeerebra]hemorrhage by surgical treatment，According to the time interval between pathogenesis and operation，these patients were divided into Ihe ultra—early group，【he early group and the delay group，and the results were compared to three group．Results The recovery of consciousness level WaS more q~fickly。the rate of excellent was high and the rate of complications and death was lower in the ultra—early operation group than those in the other two gmups·postoperative hemorrhage rate did not increase．Conclusion Ultra—early operation for the patients with hypertensive intracerebral hemorrhage is beneficial for fimctional recovery I and the patients who have indication fi,r operation should be operated on the ultra—early stage． 【Key words】 hypertensive intracerebral hemorrhage；surgical t