CAJ | 학술논문

目的：探讨脑淀粉样变脑出血患者的手术治疗效果。方法选择我院脑出血患者作为研究对象，其中脑淀粉样病变脑出血30例，高血压脑出血115例，回顾分析两组患者的临床资料，对比分析临床特征与手术治疗的效果。结果 A组高龄比B组多；A组大脑半球脑叶、基底节/丘脑区域出血和伴随蛛网膜下腔出血的患者多于B组；A组30 ml以下出血量的病例数多于B组；A组血肿形态分叶状的病例占比高于B组；A组治疗后NIHSS评分更高，死亡病例为5例，存活率达到83%。结论脑淀粉样病变脑出血患者必须及时进行手术治疗，并且预防再次出血和并发症的发生，从而提高手术治疗的远期效果。
목적：탐토뇌정분양변뇌출혈환자적수술치료효과。방법선택아원뇌출혈환자작위연구대상，기중뇌정분양병변뇌출혈30례，고혈압뇌출혈115례，회고분석량조환자적림상자료，대비분석림상특정여수술치료적효과。결과 A조고령비B조다；A조대뇌반구뇌협、기저절/구뇌구역출혈화반수주망막하강출혈적환자다우B조；A조30 ml이하출혈량적병례수다우B조；A조혈종형태분협상적병례점비고우B조；A조치료후NIHSS평분경고，사망병례위5례，존활솔체도83%。결론뇌정분양병변뇌출혈환자필수급시진행수술치료，병차예방재차출혈화병발증적발생，종이제고수술치료적원기효과。
Objective To explore the effect of surgical treatment of patients with cerebral amyloidosis cerebral hemorrhage.Methods Selected our hospital patients with cerebral hemorrhage as the research object, among them 35 cases patients with cerebral amyloid lesions in cerebral hemorrhage, 115 cases of hypertensive cerebral hemorrhage patients, retrospective analysis the clinical data of two groups of patients, the contrast analyzed the effect of the clinical features and surgical treatment.Results Group A of elderly patients were more than group B. The group A side lobes, hypothalamus area hemorrhage in basal ganglia, and patients with subarachnoid hemorrhage significantly more than group B, group A of patients under 30 ml blood loss signiifcantly more than the number of cases in group B, Group A lobulated hematoma form of the cases was higher than group B, NIHSS score after treatment group A was higher, deaths in 5 cases, the survival rate reached 86%.Conclusion Cerebral amyloid lesions in patients with cerebral hemorrhage surgery must be timely treatment, and prevention of bleeding again and complications, so as to improve the long-term outcome of surgical treatment.