CAJ | 학술논문

目的：探讨高血压性脑出血的最佳治疗方式，提高患者存活率，降低致残率。方法：回顾分析110例出血量>20ml的高血压性脑出血（均为半球出血）患者的治疗情况，分别采用保守治疗（A组）和手术治疗（B组），A组采用常规脱水降颅压等治疗方法，B组主要采用去骨瓣开颅血肿清除术方法。结果：出血量<40ml患者两组疗效无明显差别，≥40ml患者B组较A组在治疗半年后，治疗效果具有明显优势。结论：根据病情不同，选择合适的个体化治疗方案，能有效提高患者的生存率和生活质量。
목적：탐토고혈압성뇌출혈적최가치료방식，제고환자존활솔，강저치잔솔。방법：회고분석110례출혈량>20ml적고혈압성뇌출혈（균위반구출혈）환자적치료정황，분별채용보수치료（A조）화수술치료（B조），A조채용상규탈수강로압등치료방법，B조주요채용거골판개로혈종청제술방법。결과：출혈량<40ml환자량조료효무명현차별，≥40ml환자B조교A조재치료반년후，치료효과구유명현우세。결론：근거병정불동，선택합괄적개체화치료방안，능유효제고환자적생존솔화생활질량。
Objective:To explore the best treatment of hypertensive cerebral hemorrhage, improve the survival rate of the patients, reduce the rate of disability.Methods:Retrospective analysis of 110 cases of hypertensive cerebral hemorrhage>20ml hemorrhage (both hemispheric hemorrhage) in patients with treatment, they were treated with con-servative treatment(group A) and operation therapy(group B), A group with conventional intracranial pressure lowering treatment, B group were treated with bone flap craniotomy method.Results:The efficacy was indifference between the two groups for the patients of hematoma volume<40ml,≥40ml patients group B than group A in half a year after treatment, treatment has obvious advantages.Conclusions:According to different condition, the choice of individual suitable treatment can effectively improve the patients survival rate and life quality.