CAJ | 학술논문

目的对高血压脑出血的血肿形态以及从发病到术后再出血的几率进行研究，从而得出最佳手术时机。方法对50例高血压脑出血患者进行分组，15例为观察组，根据其发生血肿的形态变化，在变为边界规整时，对其行手术治疗；35例为对照组，患者血肿形态不典型，边界不规整，随后进行手术治疗。均采用颞肌下去骨瓣减压血肿清除术，观察组病例脑组织与血肿边界清楚，容易进行止血，而对照组由于脑组织与血肿边界不清楚，止血比较困难。结果观察组病例脑组织破坏范围接近或明显小于术前高密度血肿的大小，其中线移位也得到正常的恢复。结论手术时机的选择不仅需要考虑血肿的形态，还需要考虑血肿大小、出血的部位及时间等。
목적대고혈압뇌출혈적혈종형태이급종발병도술후재출혈적궤솔진행연구，종이득출최가수술시궤。방법대50례고혈압뇌출혈환자진행분조，15례위관찰조，근거기발생혈종적형태변화，재변위변계규정시，대기행수술치료；35례위대조조，환자혈종형태불전형，변계불규정，수후진행수술치료。균채용섭기하거골판감압혈종청제술，관찰조병례뇌조직여혈종변계청초，용역진행지혈，이대조조유우뇌조직여혈종변계불청초，지혈비교곤난。결과관찰조병례뇌조직파배범위접근혹명현소우술전고밀도혈종적대소，기중선이위야득도정상적회복。결론수술시궤적선택불부수요고필혈종적형태，환수요고필혈종대소、출혈적부위급시간등。
Objective Purpose of hypertension cerebral hemorrhage haematoma shape and from the onset to the risk of postoperative bleeding again to study,so as to obtain the optimal timing of surgery. Methods 50 cases of patients with hypertension cerebral hemorrhage group, 15 patients as observation group, according to its change the morphology of hematoma, neat, the into border unef ective surgery;35 cases of control group, patients with hematoma shape is not typical, irregular border, subsequent surgery. Adopt the temporal muscle on bone disc decompression for removal of hematoma, observation group cases of brain tissue border with hematoma clear, easy to bleeding, and the control group due to brain tissue and hematoma is convenient not clear, the bleeding is more dif icult. Results Observation group cases of brain tissue damage range close to or less than the size of preoperative high density hematoma obviously, the line displacement also recovered normal. Conclusion Surgical timing of not only need to consider the shape of hematoma, also need to consider the hematoma size, location and time of bleeding, etc.