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双侧基底节区出血患者采用两种不同微创手术穿刺点并进行溶栓治疗

Two Different Minimally Invasive Surgery Puncture Points with Thrombolysis in a Patient with Bilateral Basal Ganglia Hemorrhages.

作者信息

Zhang Dongyong, Yu Jiefu, Wang Zhenze, Wang Yiwei

机构信息

Department of Neurosurgery, The First Affiliated Hospital of China Medical University, Shenyang City, People's Republic of China.

Department of Anatomy, Shenyang Medical College, Shenyang City, People's Republic of China.

出版信息

Int J Gen Med. 2020 Dec 8;13:1435-1439. doi: 10.2147/IJGM.S289238. eCollection 2020.

DOI:10.2147/IJGM.S289238
PMID:33335415
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7737542/
Abstract

Bilateral basal ganglia hemorrhages are extremely rare and have very poor prognosis. We describe the case of a 52-year-old woman with a history of hypertension who experienced bilateral basal ganglia hemorrhages. We performed bilateral hematoma aspiration by minimally invasive surgery via frontal and temporal puncture points. We discuss the surgical procedure and review relevant literature pertaining to the underlying causes and complications of similar cases.

摘要

双侧基底节区出血极为罕见,预后极差。我们描述了一名有高血压病史的52岁女性发生双侧基底节区出血的病例。我们通过额部和颞部穿刺点进行微创手术双侧血肿抽吸。我们讨论了手术过程,并回顾了有关类似病例的潜在病因和并发症的相关文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7e/7737542/83e9ee3aebda/IJGM-13-1435-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7e/7737542/83e9ee3aebda/IJGM-13-1435-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7e/7737542/83e9ee3aebda/IJGM-13-1435-g0001.jpg

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Two Different Minimally Invasive Surgery Puncture Points with Thrombolysis in a Patient with Bilateral Basal Ganglia Hemorrhages.双侧基底节区出血患者采用两种不同微创手术穿刺点并进行溶栓治疗
Int J Gen Med. 2020 Dec 8;13:1435-1439. doi: 10.2147/IJGM.S289238. eCollection 2020.
2
Simultaneous bilateral hypertensive basal ganglia hemorrhage.双侧同时性高血压性基底节出血。
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引用本文的文献

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Minimally invasive surgery for bilateral large basal ganglia hemorrhage: a rare case report and insights from literature.双侧基底节区大量出血的微创手术:1例罕见病例报告及文献见解
AME Case Rep. 2025 Jul 15;9:103. doi: 10.21037/acr-25-17. eCollection 2025.
2
Bilateral basal ganglia hemorrhage: a systematic review of etiologies, management strategies, and clinical outcomes.双侧基底节出血:病因、治疗策略和临床结局的系统评价。
Neurosurg Rev. 2023 Jun 5;46(1):135. doi: 10.1007/s10143-023-02044-x.
3
Spontaneous Simultaneous Bilateral Basal Ganglia Hemorrhage (SSBBGH): Systematic Review and Data Analysis on Epidemiology, Clinical Feature, Location of Bleeding, Etiology, Therapeutic Intervention and Outcome.

本文引用的文献

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Single and simultaneous multiple intracerebral hemorrhages: a radiological review.单发及同时性多发性脑内出血:影像学综述
Acta Neurol Belg. 2020 Aug;120(4):819-829. doi: 10.1007/s13760-020-01385-4. Epub 2020 May 24.
2
Cerebral Intraparenchymal Hemorrhage: A Review.脑实质内出血:综述。
JAMA. 2019 Apr 2;321(13):1295-1303. doi: 10.1001/jama.2019.2413.
3
Efficacy and safety of minimally invasive surgery with thrombolysis in intracerebral haemorrhage evacuation (MISTIE III): a randomised, controlled, open-label, blinded endpoint phase 3 trial.
自发性双侧基底节区脑出血(SSBBGH):流行病学、临床特征、出血部位、病因、治疗干预和结局的系统评价和数据分析。
Vasc Health Risk Manag. 2022 Apr 14;18:267-276. doi: 10.2147/VHRM.S349912. eCollection 2022.
微创血肿清除术与溶栓治疗脑出血的疗效和安全性(MISTIE III):一项随机、对照、开放标签、盲终点 3 期试验。
Lancet. 2019 Mar 9;393(10175):1021-1032. doi: 10.1016/S0140-6736(19)30195-3. Epub 2019 Feb 7.
4
Good functional outcome following bilateral external capsule hemorrhage mimicking bilateral basal ganglia hemorrhage in a coma patient.昏迷患者双侧外囊出血模拟双侧基底节出血后的良好功能结局。
Br J Neurosurg. 2023 Aug;37(4):682-684. doi: 10.1080/02688697.2018.1559276. Epub 2019 Jan 29.
5
Multiple simultaneous intracerebral hemorrhages: Clinical presentations and risk factors.多发性脑内出血:临床特征与危险因素。
J Neurol Sci. 2017 Dec 15;383:35-38. doi: 10.1016/j.jns.2017.10.005. Epub 2017 Oct 9.
6
Clinical study on minimally invasive liquefaction and drainage of intracerebral hematoma in the treatment of hypertensive putamen hemorrhage.微创液化引流术治疗高血压性壳核出血的临床研究
Technol Health Care. 2017 Dec 4;25(6):1061-1071. doi: 10.3233/THC-170950.
7
Safety and efficacy of minimally invasive surgery plus alteplase in intracerebral haemorrhage evacuation (MISTIE): a randomised, controlled, open-label, phase 2 trial.微创手术联合阿替普酶用于脑出血清除的安全性和有效性(MISTIE):一项随机、对照、开放标签的2期试验。
Lancet Neurol. 2016 Nov;15(12):1228-1237. doi: 10.1016/S1474-4422(16)30234-4. Epub 2016 Oct 11.
8
Simultaneous bilateral hypertensive basal ganglia hemorrhage.双侧同时性高血压性基底节出血。
Neurol Neurochir Pol. 2016 Jul-Aug;50(4):275-9. doi: 10.1016/j.pjnns.2016.03.003. Epub 2016 Mar 19.
9
Simultaneous Bilateral Basal Ganglia Hemorrhage.双侧基底节区同时性出血
Curr Drug Deliv. 2017 Sep 6;14(6):807-815. doi: 10.2174/1567201813666160607202811.
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Relationship between different surgical methods, hemorrhage position, hemorrhage volume, surgical timing, and treatment outcome of hypertensive intracerebral hemorrhage.高血压性脑出血的不同手术方法、出血部位、出血量、手术时机与治疗效果的关系。
World J Emerg Med. 2014;5(3):203-8. doi: 10.5847/wjem.j.issn.1920-8642.2014.03.008.