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CT引导下高血压性脑出血的立体定向血肿清除术

CT-guided stereotactic evacuation of hypertensive intracerebral hematoma.

作者信息

Liu Z H, Tian Z M, Chen X H, Li S Y, Kang G Q, Zhang Y, Cai H Z

机构信息

Department of Neurosurgery, Navy General Hospital, Beijing.

出版信息

Chin Med J (Engl). 1991 May;104(5):387-91.

PMID:1879207
Abstract

From January 1986 to June 1989, the CT-guided stereotactic evacuation was performed in 38 cases of hypertensive intracerebral hematoma with satisfactory result. 24 patients were male and 14 female. The age ranged from 37 to 78 years, with an average of 55. 24 cases had their hematoma in internal capsule, 7 in cerebellum, 5 in subcortex, and 2 in brain stem. The interval between the occurrence of hemorrhage and evacuation of hematoma was 24 hours or less in 18 cases, 2-3 days in 14 and 4-7 days in 6. The volume of hematoma was estimated by CT scanning being more than 100 ml in 6 cases whereas much less in 2 cases of the brain stem.

摘要

1986年1月至1989年6月,对38例高血压脑出血患者进行了CT引导下立体定向血肿清除术,效果满意。其中男性24例,女性14例。年龄37~78岁,平均55岁。血肿位于内囊24例,小脑7例,皮质下5例,脑干2例。出血至血肿清除的时间:18例在24小时以内,14例在2~3天,6例在4~7天。经CT扫描估计血肿量,6例超过100ml,而脑干2例则少得多。

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