健康之路
健康之路
건강지로
HEALTH
2014年
6期
23-23,24
,共2页
中青年%高血压%脑出血%手术疗效
中青年%高血壓%腦齣血%手術療效
중청년%고혈압%뇌출혈%수술료효
Youth and middle-age%Hypertensive cerebral hemorrbage%The ef ect of surgical treatment
目的：探讨中青年脑溢血手术后临床效果。方法：回顾性分析32例中青年高血压脑出血患者的临床资料,根据患者的意识状态,瞳孔变化,出血时间,出血部位,血肿量等,采用小骨窗血肿清除术,大骨窗血肿清除并去骨瓣减压术,及侧脑室外引流术手术疗效进行探讨。结果：选择小骨窗血肿清除术24例,术后日常生活能力(ADL)评级Ⅰ级12例,Ⅱ级7例,Ⅲ级3例,Ⅳ级1例,Ⅴ级1例。大骨窗血肿清除并去骨瓣减压术6例,术后 ADL 评级Ⅰ级3例,Ⅱ级0例,Ⅲ级1例,Ⅳ级1例,Ⅴ级0例,死亡1例。侧脑室外引流术2例,ADL 评级Ⅰ级0例,Ⅱ级0例,Ⅲ级1例,Ⅳ级0例,Ⅴ级0例,死亡1例。结论：中青年脑溢血手术疗效优于老年脑溢血,术后恢复较好,应争取在发病后尽早手术清除血肿,减少血肿继发脑损害,提高病员生存质量。
目的：探討中青年腦溢血手術後臨床效果。方法：迴顧性分析32例中青年高血壓腦齣血患者的臨床資料,根據患者的意識狀態,瞳孔變化,齣血時間,齣血部位,血腫量等,採用小骨窗血腫清除術,大骨窗血腫清除併去骨瓣減壓術,及側腦室外引流術手術療效進行探討。結果：選擇小骨窗血腫清除術24例,術後日常生活能力(ADL)評級Ⅰ級12例,Ⅱ級7例,Ⅲ級3例,Ⅳ級1例,Ⅴ級1例。大骨窗血腫清除併去骨瓣減壓術6例,術後 ADL 評級Ⅰ級3例,Ⅱ級0例,Ⅲ級1例,Ⅳ級1例,Ⅴ級0例,死亡1例。側腦室外引流術2例,ADL 評級Ⅰ級0例,Ⅱ級0例,Ⅲ級1例,Ⅳ級0例,Ⅴ級0例,死亡1例。結論：中青年腦溢血手術療效優于老年腦溢血,術後恢複較好,應爭取在髮病後儘早手術清除血腫,減少血腫繼髮腦損害,提高病員生存質量。
목적：탐토중청년뇌일혈수술후림상효과。방법：회고성분석32례중청년고혈압뇌출혈환자적림상자료,근거환자적의식상태,동공변화,출혈시간,출혈부위,혈종량등,채용소골창혈종청제술,대골창혈종청제병거골판감압술,급측뇌실외인류술수술료효진행탐토。결과：선택소골창혈종청제술24례,술후일상생활능력(ADL)평급Ⅰ급12례,Ⅱ급7례,Ⅲ급3례,Ⅳ급1례,Ⅴ급1례。대골창혈종청제병거골판감압술6례,술후 ADL 평급Ⅰ급3례,Ⅱ급0례,Ⅲ급1례,Ⅳ급1례,Ⅴ급0례,사망1례。측뇌실외인류술2례,ADL 평급Ⅰ급0례,Ⅱ급0례,Ⅲ급1례,Ⅳ급0례,Ⅴ급0례,사망1례。결론：중청년뇌일혈수술료효우우노년뇌일혈,술후회복교호,응쟁취재발병후진조수술청제혈종,감소혈종계발뇌손해,제고병원생존질량。
Objective:To investigate the clinical ef ects of youth and middle-age with cerebral hemorrbage after surgicaltreatment.Methods:Retrospective analysis of 32 cases clinical data in young and middle-aged patients with hypertensive cerebral hemorrhage,according to the patient's state of consciousness,pupil ary changes,bleeding time,bleeding site,hematoma volume,etc.,to explore the ef ectof-surgicaltreatment with using a smal bone window hematoma,a large bone window hematoma and boneless decompression valve,and lateral lateral ventricle drainage operation.Result:Choose smal bone window hematoma 24 cases of postoperative activities of daily living (ADL)rating grade Ⅰ 12 cases,Ⅱ grade 7 cases,Ⅲ grade 3 cases,Ⅳ grade 1 case,Ⅴ grade 1 case.Large bone window hematoma and decompressive craniectomy 6 cases,postoperative ADL rating grade Ⅰ 3 cases,grade Ⅱ 0 cases,Ⅲ grade 1 cases,Ⅳ grade 0 cases,Ⅴ grade 1 case,1 cases died.Two cases of lateral external drainage,ADL rating grade Ⅰ 0 cases,grade Ⅱ 0 cases,grade Ⅲ 1 cases,Ⅳ grade 0 cases,Ⅴ grade 0 cases,1 cases died.Conclusion:Young and middle-age with cerebral hemorrhage surgical curative ef ect is superior to the elderly cerebral hemorrhage,postoperative recovery is good,we should strive for surgicaltreatment as soon as possible after the onset of surgery to remove the hematoma,reduce the secondary brain damage after hematoma,improve the quality of patient’s life.
