CT定位微创治疗高血压脑出血的临床应用观察

目的探讨CT定位下应用微创治疗高血压脑出血的临床疗效。方法将我院2001年1月～2012年12月98例高血压脑出血患者在CT定位下应用LY-1型一次颅内血肿穿刺针穿刺抽吸血肿,并置管引流,定时用尿激酶冲洗,术后给与常规治疗。结果穿刺引流时间3～7 d,出院时按ADL分级法。Ⅰ级:完全恢复日常生活38例;Ⅱ级:部分恢复44例;Ⅲ级:需人帮助、扶拐可行走7例;Ⅳ级:卧位但保持意识5例,Ⅴ级:死亡4例。结论微创颅内血肿穿刺术治疗高血压脑出血具有损伤小、定位准确、操作简单、快捷、疗效高,是治疗高血压脑出血的首选。

Observation of clinical application of CT localization in minimally invasive treatment of hypertensive cerebral hemorrhage

Objective To investigate clinical application of CT localization in minimally invasive treatment of hypertensive cerebral hemorrhage.Methods 98 cases of hypertension cerebral hemorrhage in our hospital between January 2001 and December 2012 were treated with puncture of YL-1 type disposable intracranial hemorrhage puncture needle and drainage of hemorrhage under CT localization.Drainage tubes were placed followed by urokinase irrigation on time.Conventional post-operation treatment was also given.Results Puncture drainage lasted 3 to 7 days.Patients were graded by ADL grading method when leaving hospital.GradeⅠ： 38 cases who recovered completely in daily life;GradeⅡ： 44 cases who recovered part of daily life ability;Grade Ⅲ： 7 cases who walked with a crutch or needed others＇assistance in daily life;Grade Ⅳ： 5 patients who lay in bed with consciousness;GradeⅤ：4 cases who died.Conclusion Minimally invasive treatment of hypertensive cerebral hemorrhage has such advantages as small trauma,accurate positioning,simple and quick operation,and high curative effect.It is the first choice in the treatment of hypertensive cerebral hemorrhage.