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[CT引导下穿刺抽吸负压引流治疗高血压性脑出血——附120例分析]

[Treatment of hypertensive intracerebral hematoma by CT-directed puncture aspiration and negative-pressure drainage--analysis of 120 cases].

作者信息

Zhang S, Xu W, Jin C

机构信息

Second Hospital of Wuhan.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1994 Apr;16(2):153-6.

PMID:7987944
Abstract

Puncture aspiration and negative-pressure drainage have been performed in 120 patients with hypertensive intracerebral hematoma. The results demonstrated that the CT-directed location method designed by us, based on Matsumoto and Hondo, s location method, is simple, practicable, very accurate and less. When intracranial CT and clinical manifestations of hematoma are comprehensively analyzed, an operative indication can be correctly selected. Depending on CT manifestations and pathological changes, the selected operative time is 48h or so. Of the 120 patients which underwent this operation, only 31 have died. The mortality rate is 25 percent. The effect of the therapy is satisfactory.

摘要

对120例高血压脑出血患者进行了穿刺抽吸及负压引流。结果表明,我们基于松本和本堂的定位方法设计的CT引导定位方法简单、可行、非常准确且创伤小。综合分析颅内CT及血肿的临床表现时,可正确选择手术指征。根据CT表现及病理变化,选择的手术时机为48小时左右。在接受该手术的120例患者中,仅31例死亡。死亡率为25%。治疗效果满意。

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