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STEREOTACTIC NEUROSURGERY IN TREATMENT OF HYPERTENSIVE CEREBRAL HEMORRHAGE

Liu Bochen, Li Hongshan, Lan Xiaolei, et al Department of Neurosurgery, The Second Affiliated Hosptial of Qingdao Medical Colloge, Qingdao 266042  
Objective To explore the value of stereotactic neurosurgery in treatment of hypertensive cerebral hemorrhage. Methods 42 cases of hypertensive cerebral hemorrhage were treated with stereotactic neurosurgery. A pipe was used to suck the hemorrhage fluid and left there for continus drainage. Urokinase was injected through the pipe to melt hematoma. The clearance of hematoma, recovery of function and complication were observed. Results The pipe was removed when the volume of hematoma was less than 5 ml . The drainage time was 12—168h, averaging 68.4h. One case died(2.4%),one case failed in follow up study. The rest were followed up for more than 90 days,all recovered in various degrees and there was few complications. Conclusion Stereotactic neurosurgery with its virtues of less injury , easy to perform, safe and rapid complete clearance of nematoma is a good method for treatment of hypertensive cerebral hemorrhage.
【CateGory Index】: R651.11,R616
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