CAJ | 학술논문

目的：探讨快速细孔钻颅血肿穿刺抽吸引流术在治疗高血压脑出血中的价值。方法：根据头颅CT定位，采用快速细孔钻颅血肿穿刺抽吸引流术，选用适宜的单管、双管及多管穿刺抽吸部分血肿后，血肿腔注射尿激酶后再引流。结果：713例患者中，快速细孔钻颅血肿穿刺抽吸引流术后血肿明显减少632例（88.6%），血肿减少不明显及再出血81例（11.4%），术后颅内感染发生8例（1.1%）。近期优良率67.9%，随访3～18个月后远期优良率78.1%。结论：快速细孔钻颅血肿穿刺抽吸引流术具有微创、快捷、方便、安全、有效、实用、经济、适用范围广等特点，尤其适宜血肿部位深和小脑出血患者，可以有效提高患者的生存质量，适宜基层医院开展。
목적：탐토쾌속세공찬로혈종천자추흡인류술재치료고혈압뇌출혈중적개치。방법：근거두로CT정위，채용쾌속세공찬로혈종천자추흡인류술，선용괄의적단관、쌍관급다관천자추흡부분혈종후，혈종강주사뇨격매후재인류。결과：713례환자중，쾌속세공찬로혈종천자추흡인류술후혈종명현감소632례（88.6%），혈종감소불명현급재출혈81례（11.4%），술후로내감염발생8례（1.1%）。근기우량솔67.9%，수방3～18개월후원기우량솔78.1%。결론：쾌속세공찬로혈종천자추흡인류술구유미창、쾌첩、방편、안전、유효、실용、경제、괄용범위엄등특점，우기괄의혈종부위심화소뇌출혈환자，가이유효제고환자적생존질량，괄의기층의원개전。
[ABSTRACT]Objective: To investigate the value of rapid small hole cranium-puncture aspirating and drainage operation in the treatment of hypertensive intracerebral hemorrhage(HICH). Methods:According to head CT positioning, using rapid small hole cranium-puncture aspirating and drainage operation, proper selection of a single tube, double tube and multiple tube after aspiration part of the hematoma,then injecting urokinase and drainage.Results:The operation had significantly reduced hematoma in 632 cases (88.6%), rebleeding or no obvious decreasing had presented in 81 cases (11.4%), 8 cases of intracranial infection (1.1%).Recent excellent rate of 67.9%, followed up for 3~18 months,forward excellent rate of 78.1%. Conclusion:Rapid small hole cranium-puncture aspirating and drainage operation is minimally invasive,fast,convenient,safety,effective,practical,economic and other characteristics,wide range,especially suitable for deep hematoma and cerebellar hemorrhage, can effectively improve patient quality of life, suitable for primary hospital.