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112例重症小脑出血外科治疗分析
引用本文:周迩,麦洁文,李林繁,邓岳桥,古奕冕,钟桂年,詹辉.112例重症小脑出血外科治疗分析[J].基层医学论坛,2005,9(6):500-502.
作者姓名:周迩  麦洁文  李林繁  邓岳桥  古奕冕  钟桂年  詹辉
作者单位:高州市人民医院,广东,高州,525200
摘    要:目的探讨如何提高小脑出血的诊断水平及外科治疗效果。方法回顾分析112例外科治疗的小脑出血患者的临床资料。结果101例获得救治,11例死亡,死亡率为9.82%。结论对CT影像学存在“后颅窝紧缩”特征的小脑出血患者进行外科治疗,能及时解除小脑出血造成的脑室系统梗阻及对脑干的压迫,有效地恢复脑脊液循环通道,并能降低颅内压减轻脑组织损害,提高临床治疗效果。

关 键 词:重症小脑出血  手术治疗  脑脊液  CT检查  抗凝药
修稿时间:2005年4月4日

Analysis of Surgical Management of 112 Cases of Serious Cerebellam Haemorrhage
Zhou Er,Mai Jiewen,Li Linfan,et al.Analysis of Surgical Management of 112 Cases of Serious Cerebellam Haemorrhage[J].Public Medical Forum Magazine,2005,9(6):500-502.
Authors:Zhou Er  Mai Jiewen  Li Linfan  
Abstract:Objective To investigate the diagnosis and the surgical treatment for Serious Cerebellam Haemorrhage . Mothods The clinical date of the patients with Cerebellam Haemorrhage undertaken surgery therapy were analyzed retrospectively. Results 101 cases were cured and 11 cases died. The death rate was 9.82%. Conlusion It can remove the ventricle block and the pressure on brain stem in time, recover cerebrospinal fluid circulation access effectively and lower the pressure of cranial cavity alleviating the encephalon tisues by operating on the patients who had CT feature of "tight posterior fodssa".
Keywords:Cerebellum haemorrhage Surgery therapy Tight posterior fodssa  
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