|本期目录/Table of Contents|

[1]薛东章,程晋成,王水平,等.超早期多靶点微创钻颅治疗重症脑出血224例疗效观察[J].医学研究与战创伤救治(原医学研究生学报),2014,16(03):244-245,260.[doi:10.3969/j.issn.1672-271X.2014.03.006]
　XUE Dong-zhang,CHENG Jin-cheng,WANG Shui-ping,et al.Clinical curative effect of multiple targets minimally invasive drilling cranium drainage treatment for severe hypertensive intracerebral hemorrhage (SHIH) in ultra-early stage[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2014,16(03):244-245,260.[doi:10.3969/j.issn.1672-271X.2014.03.006]
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超早期多靶点微创钻颅治疗重症脑出血224例疗效观察()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第16卷
期数:
2014年03期
页码:
244-245,260
栏目:
出版日期:
2014-05-20

文章信息/Info

Title:
Clinical curative effect of multiple targets minimally invasive drilling cranium drainage treatment for severe hypertensive intracerebral hemorrhage (SHIH) in ultra-early stage
作者:
薛东章; 程晋成; 王水平; 余本松; 杨世泉; 夏 添
233015 安徽蚌埠，解放军123医院神经内科
Author(s):
XUE Dong-zhang; CHENG Jin-cheng; WANG Shui-ping; YU Ben-song; YANG Shi-quan; XIA Tian.
Neurology Department,123 Hospital of PLA,Bengbu,Anhui 233015,China
关键词:
手术时间; 微创钻颅; 脑出血
Keywords:
operation time;  min-traumatic skull-drilling;  hypertensive intracerebral hemorrhage
分类号:
R651.12
DOI:
10.3969/j.issn.1672-271X.2014.03.006
文献标志码:
A
摘要:
目的 观察超早期(≤6 h)多靶点微创钻颅治疗重症高血压脑出血的临床疗效。方法 选取384例重症高血压脑出血患者，其中224例采用超早期多靶点微创钻颅引流术治疗 ，与160例非超早期手术患者对比，观察术后疗效，并跟踪随访6个月评定患者日常生活能力(ADL)。结果 224例超早期手术患者术后存活201例，有效率为89.73%；ADL评定:Ⅰ级21 例，Ⅱ级46例，Ⅲ级83例，Ⅳ级36例，Ⅴ级15例；其中Ⅰ～Ⅲ级150例，良好占74.63%，其有效率及预后显著高于对照组。结论 对于重症高血压脑出血患者行超早期多靶点微创钻 颅引流术治疗具有创伤小，迅速减轻脑损伤，术后恢复良好，并发症少等优点，能明显降低致残、致死率，提高患者的生存质量。
Abstract:
Objective To explore the clinical curative effect of minimally invasive drilling cranial for severe hypertensive intracerebral hemorrhage (SHIH) in ultra-early stage (≤6 h).Methods Minimally invasive drilling cranium drainage treatment was performed for 224 patients with SHIH in ultra-early stage and 160 patients with SHIH in non-ultra-early stage.The surgical effect on activities of daily living (ADL) after 6 months was estimated for each patient and compared between groups.Results Ultra-early stage patients,201 in 224 cases survived after surgery (effective rate,89.73%); ADL evaluation:Ⅰ level 21 cases, Ⅱ level 46 cases,Ⅲ level 83 cases,Ⅳ level 36 cases,Ⅴ level 15 cases; With 150 cases Ⅰ-Ⅲ level,good accounted for 74.63%,the efficient and prognosis was significantly higher than the control group.Conclusion For SHIH patients multiple targets at ultra-early stage,minimally invasive drilling cranium drainage treatment can significantly reduce the disabling and fatality rate,and improve the quality of life of patients.

参考文献/References:

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备注/Memo

备注/Memo:
南京军区医学科技创新课题(10MA039)
更新日期/Last Update: 2014-05-20