CAJ | 학술논문

目的：探索微创定向穿刺治疗高血压脑出血的临床效果。方法整群选取2008年1月-2010年6月在该院行微创定向穿刺治疗高血压脑出血的患者37例，根据37例高血压脑出血病人的CT片资料数据，在头颅表面标出血肿投影部位，锥颅、软管穿刺置入血肿腔，抽吸血肿，术后给予尿激酶2万~5万单位液化引流。结果血肿腔置管准确率为100%，血肿清除为30%~60%共有26例，30%以下共有11例。基本痊愈共有15例，显著进步共有17例，进步共有3例，死亡共有2例，死亡率为5.8%。出院后6个月~1年随访，病人日常生活能力I级共有11例，II级共有13例，III级共有8例，IV级共有3例，V级共有2例。结论微创定向软通道穿刺治疗高血压脑出血的疗效确切，值得推广。
목적：탐색미창정향천자치료고혈압뇌출혈적림상효과。방법정군선취2008년1월-2010년6월재해원행미창정향천자치료고혈압뇌출혈적환자37례，근거37례고혈압뇌출혈병인적CT편자료수거，재두로표면표출혈종투영부위，추로、연관천자치입혈종강，추흡혈종，술후급여뇨격매2만~5만단위액화인류。결과혈종강치관준학솔위100%，혈종청제위30%~60%공유26례，30%이하공유11례。기본전유공유15례，현저진보공유17례，진보공유3례，사망공유2례，사망솔위5.8%。출원후6개월~1년수방，병인일상생활능력I급공유11례，II급공유13례，III급공유8례，IV급공유3례，V급공유2례。결론미창정향연통도천자치료고혈압뇌출혈적료효학절，치득추엄。
Objective To explore the clinical effect of minimally invasive stereotactic puncture hypertension cerebral hemorrhage. Methods 37 patients with hypertensive cerebral hemorrhage from January 2008 to June 2008 in our hospital using minimally inva-sive stereotactic puncture, on the basis of CT slice data of 37 cases of hypertensive cerebral hemorrhage patient data, mark the hematoma in the skull surface projection area, cone cranial, hose placing hematoma cavity puncture, suction hematoma, postopera-tive giving urokinase 20000-50000 unit liquefaction drainage. Results Hematoma cavity catheter accuracy is 100%, hematoma re-moval is 30%-60% of the total of 26 cases, less than 30% of the total of 11 cases. Basic heal a total of 15 cases, remarkable progress in 17 cases, progress in 3 cases, there were 2 cases of death, the mortality rate of 5.8%. 6 months to 1 year follow-up af-ter discharge, a total of 11 cases patients daily life ability is level I, a total of 13 cases is level II, a total of 8 cases is level III and level IV in 3 cases, there were 2 cases V level. Conclusion Minimally invasive puncture has a good effect for hypertensive cere-bral hemorrhage and is worth promoting.