高血压脑出血外科治疗100例体会

目的：探讨高血压脑出血患者的外科治疗方法,分析其疗效。方法：选择100例高血压脑出血患者,随机分为A组和B组,各50例。A组采用单纯彻底清除血肿术;B组采用单纯清除血肿加去骨瓣压减术。比较两组超早期、非超早期外科治疗结果。结果：两组超早期的疗效明显优于非超早期（P〈0.05）;B组超早期手术疗效优于A组超早期（P〈0.05）。结论：清除血肿加去骨瓣压减术对超早期脑出血患者具有较好疗效。

The treatment experience of surgical treatment for 100 cases with hypertensive cerebral hemorrhage

Objective： To investigate the surgical treatment method of hypertensive cerebral hemorrhage and analyze the clinical efficacy. Methods： 100 cases of patients with hypertensive cerebral hemorrhage were randomly divided into group A and group B, each had 50 cases. Group A was given simple completely clearance hematoma. Group B was given simple completely clearance hematoma and bone flap pressure reducing operation. The surgical results were compared between two groups. Results： The clinical efficacy of ultra-early was much better than that of nonultra-early （P0.05）. Group B was better than group A during ultra-early （P0.05）. Conclusion： Clearance hematoma and bone flap pressure reducing operation has good clinical efficacy to ultra-early hypertensive cerebral hemorrhage.