首页> 中文期刊> 《中外医疗》 >CT定位置软管颅内血肿碎吸引流术治疗高血压性脑出血92例疗效分析

CT定位置软管颅内血肿碎吸引流术治疗高血压性脑出血92例疗效分析

         

摘要

Objective Discussion CT localization of intracranial hematoma attract hose stream treatment of hypertensive cerebral hemorrhage effect.Methods Group select October 2014 — October 2015 hypertensive intracerebral hemorrhage pa-tients in our hospital treated 184 cases of brain surgery, patients were randomly divided into treatment group and control group, 92 patients in each treatment group using CT localization of intracranial hematoma Aspiration bypass treatment, the control group with conservative treatment. Follow-up was observed and recorded two prognosis and complications. Results Treatment groups:basic recovery in 18 cases, effective 59 cases, 12 cases, 3 deaths, the total effective rate was 83.70%;the control group. The total efficiency of the treatment group was higher, statistically, P<0.05, total effective rate was significant difference (P<0.05) in the control group: Basic cured 13 cases, effective in 48 cases, ineffective in 23 cases 8 deaths, the total effective rate was 66.30%. Conclusion CT localization hose intracranial hematoma attract bypass operation is simple, safe and effective, mild brain damage, puncture fluid increases hematoma liquefaction agent to promote clot lysis, reduce mortality, to good effect, improve the quality of life of patients, complications low incidence, worthy of clinical application.%目的:探讨CT定位置软管颅内血肿碎吸引流术治疗高血压脑出血临床效果。方法整群选取2014年10月—2015年10月该院脑外科收治的高血压脑出血患者184例,将患者随机分为治疗组﹑对照组,每组92例。治疗组采用CT定位置管颅内血肿碎吸引流术进行治疗,对照组采用内科保守治疗。观察随访并记录两组患者预后及并发症情况。结果治疗组:基本痊愈18例,有效59例,无效12例,死亡3例,总有效率为83.70%;对照组:治疗组总有效率高于对照组,经统计学处理,P<0.05,两组总有效率差异有统计学意义(P<0.05)。对照组:基本痊愈13例,显效48例,无效23例,死亡8例,总有效率为66.30%。结论 CT定位置软管颅内血肿碎吸引流术操作简便﹑安全有效﹑脑损伤轻微﹑穿刺冲洗液增加了血肿液化剂,促进血块溶解,降低病死率,效果良好,提高患者的生命质量,并发症发生率低,值得临床推广应用。

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