CAJ | 학술논문

目的：探讨不同手术时机使用脑血肿碎吸引流术治疗高血压性脑出血的疗效。方法：两组患者均采用脑血肿碎吸引流术进行治疗，超早期组在发病6～7 h内施行脑血肿碎吸引流术进行治疗。延期组在7～72 h内进行脑血肿碎吸引流术进行治疗。结果：术后并发症的主要类型为脑出血、消化道出血、感染(以肺部感染为主)、死亡。其中超早期组的3种并发症数量及死亡病例均少于延期组；两组病例在治疗1个月以后使用GOS临床评分的方法进行治疗预后评价，超早期组的GOS预后要明显好于延期组；随访6个月以后进行ADL比较发现在5个等级中，超早期组的ADL评分情况要优于延期组。结论：使用脑血肿碎吸引流术在6～7h内针对高血压脑出血病例进行手术治疗，能够提高患者的生存质量，有效地减少致残率和致死率。
목적：탐토불동수술시궤사용뇌혈종쇄흡인류술치료고혈압성뇌출혈적료효。방법：량조환자균채용뇌혈종쇄흡인류술진행치료，초조기조재발병6～7 h내시행뇌혈종쇄흡인류술진행치료。연기조재7～72 h내진행뇌혈종쇄흡인류술진행치료。결과：술후병발증적주요류형위뇌출혈、소화도출혈、감염(이폐부감염위주)、사망。기중초조기조적3충병발증수량급사망병례균소우연기조；량조병례재치료1개월이후사용GOS림상평분적방법진행치료예후평개，초조기조적GOS예후요명현호우연기조；수방6개월이후진행ADL비교발현재5개등급중，초조기조적ADL평분정황요우우연기조。결론：사용뇌혈종쇄흡인류술재6～7h내침대고혈압뇌출혈병례진행수술치료，능구제고환자적생존질량，유효지감소치잔솔화치사솔。
Objective:To explore the curative effect of using cerebral hematoma broken attract flow technique in the treatment of hypertensive cerebral hemorrhage at different operation time.Methods:The patients in two groups were all given cerebral hematoma broken attract flow technique for treatment.The ultra early group was given cerebral hematoma broken attract flow technique treatment in 6~7 hours of incidence.The delay group was given cerebral hematoma broken attract flow technique treatment in 7~72 hours.Results:The main types of postoperative complications were bleeding,gastrointestinal bleeding, infection(mainly lung infection),death.The three complications number and death cases of the ultra early group were less than those of the delay group.The prognosis was evaluated by using GOS clinical scoring method after two groups cases were treated for 1 month,the GOS prognosis of the ultra early group was obviously better than that of the delay group.After follow-up of 6 months, ADL was compared that the ADL score of the ultra early group was better that of the delay group in 5 grade.Conclusion:Using cerebral hematoma broken attract flow technique in 6~7 hours for the operative treatment of hypertensive cerebral hemorrhage can improve the life quality of patients,and effectively reduce the morbidity and mortality.