中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2008年
8期
823-825
,共3页
高血压脑出血%脑水肿%氯丙嗪%外科手术
高血壓腦齣血%腦水腫%氯丙嗪%外科手術
고혈압뇌출혈%뇌수종%록병진%외과수술
Cerebral hemorrhage%Hypertensive%Wintermine%Surgical procedures
目的 探讨重度高血压脑出血的有效治疗方法.方法将102例重度高血压脑出血患者随机分为2组,A组行微创手术治疗,于微创术后给予氯丙嗪25 mg加入5%葡萄糖溶液250～500 ml中静脉滴注,持续1～5 d;B组仅行微创手术治疗;同期住院内科治疗的重度高血压脑出血患者55例作为对照(C组),对3组患者生活质量及病死率进行比较.结果A组存活者生活质量明显优于B、C组(P<0.05或0.01),病死率也明显低于B、C组(P<0.05或0.01).结论微创手术联合氯丙嗪静脉滴注治疗重度高血压脑出血病死率低且并发症少.
目的 探討重度高血壓腦齣血的有效治療方法.方法將102例重度高血壓腦齣血患者隨機分為2組,A組行微創手術治療,于微創術後給予氯丙嗪25 mg加入5%葡萄糖溶液250～500 ml中靜脈滴註,持續1～5 d;B組僅行微創手術治療;同期住院內科治療的重度高血壓腦齣血患者55例作為對照(C組),對3組患者生活質量及病死率進行比較.結果A組存活者生活質量明顯優于B、C組(P<0.05或0.01),病死率也明顯低于B、C組(P<0.05或0.01).結論微創手術聯閤氯丙嗪靜脈滴註治療重度高血壓腦齣血病死率低且併髮癥少.
목적 탐토중도고혈압뇌출혈적유효치료방법.방법장102례중도고혈압뇌출혈환자수궤분위2조,A조행미창수술치료,우미창술후급여록병진25 mg가입5%포도당용액250～500 ml중정맥적주,지속1～5 d;B조부행미창수술치료;동기주원내과치료적중도고혈압뇌출혈환자55례작위대조(C조),대3조환자생활질량급병사솔진행비교.결과A조존활자생활질량명현우우B、C조(P<0.05혹0.01),병사솔야명현저우B、C조(P<0.05혹0.01).결론미창수술연합록병진정맥적주치료중도고혈압뇌출혈병사솔저차병발증소.
Objective To study the effective treatment for severe hypertensive cerebral hemorrhage. Methods 102 cases of severe hypertensive cerebral hemorrhage were randomly divided into two groups: One group with minimally invasive surgery and intravenous drip of wintermine started 1 ～ 5 days after operation, another only with minimally invasive surgery. The 55 subjects with conservative treatment were selected as control group. Results The quality of life in the survival group was better than in group B and C (P < 0.05, or P < 0.01), the mortality of group A was also significantly lower than the other two groups (P < 0.05, or P < 0.01). Conclusion Minimally invasive surgery combined with intravenous drip of wintermine can be a safe and effective method for severe hypertensive cerebral hemorrhage.
