微创钻孔引流术治疗高血压脑出血临床研究

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1、青岛大学硕士学位论文微创钻孔引流术治疗高血压脑出血临床研究姓名：王浦强申请学位级别：硕士专业：神经外科学指导教师：孙鹏20110521微创钻孔引流术治疗高血压脑出血临床研究研究生：王浦强导师：孙鹏教授中交摘要【目的】：探讨微创钻孔引流治疗高血压脑出血的手术方法及治疗效果。【方法L研究对彖为符合高血压脑出血需要手术治疗的患者。根据患者病史，入院即行头颅CT检查确定出血量及中线移位情况。有手术指征的病人即行CT定位引导下微创穿刺脑内血肿引流术，缓慢抽吸清除部分血肿后留置引流管，引流管接无菌引流袋。术后反复引流管内注入尿激酶（首次注

2、入应在发病6小时后）液化血肿引流，直至血肿量＜10ml,则可拔除引流管。观察病死率，致残率，术后随访6个■月，观察日常生活能力（ADL）o【豔融：血胁瞬蔣瞬卿），引谢流术盾意谋妬姗善^殛徹第哪夾4•社天，住院期间抢救成功186例，死亡34例，平均住院22天。本组出院时行ADL评价，1级3例，2级98例，3级58例，4级26例，5级4例。出院后随访6个月，1级18例，2级119例，3级33例，4级9例，5级2例，恢复期死亡5例。【结论】：微创钻孔引流治疗高血压脑岀血，创伤小，操作简便，效果确切。1SS1-treated磁曲jCl

3、iNiteWlresearchonmicroinvasivetrepanationand&K破nagertensiveCabralbssooirhagcEosgd翻e:WangPuqiangQ£hd际cSunPengPrefessorAbstractObjective:Toreseachtheeffectofmicroinvasivetrepanationanddrainageforthenhagc.treatmentofhypertensivecerebral驗憩MSQiSds:Aretrospectivestudyof22

4、0patientswhoconceivedthemicroinvasivetrepanationanddrainageforthetreatmentofhypertensivecerebralhemorrhagebetween2007-6and2010-9.TheCTmustbedoneforthehypertensivecerebralhemorrhagepatientinordertofoundthehemorrhageandtocomputethevolumeoftheintracerebralhematoma.Them

5、icroinvasivetrepanationanddrainagewasperformedundertheCT仙Oma

6、learanceratewas90%-98%.Theconsciousnessbeginimproveafterthedrainage,theaveragetimeofefitH&ationwas4.6days.186patientswereanimationdurationofhospitalstayand84patientsweredead,theaveragetimeofhospitalizationwas22days.AccordingtotheffcctiyitiesOfDailyLiving(ADL):therew

7、ere8casesof魔DS1,98casesOfADL-2,58casesofADL-3,26casesofADL-4,5casesofADL-5whenthepatientstoleavehospital.Therewere18casesOiGWICCl,119casesofADL-2,33casesofADL-3,9casesofADL-4,2casesofADL-5,and6casesweredeathafter6monthesfollow-upvisit.Conclusions:Themicroinvasivetre

8、panationanddrainageissafeandeffectiveforthetreatmentofhypertensivecmttseerbralhemorrhage.Andithas艙l^cdamageandthecostislower.Keywords:Hype