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《Journal of Dalian Medical University》 2009-02
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Clinical investigation of surgical treatments in hypertensive intracranial hemorrhage

WEI Zhen-qing1,SUN Lian-jun2,ZHAO Yong-shun1,QIU Han-cheng1,ZHANG Bin1(1.Department of Neurosurgery,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China;2.The Third People's Hospital of Jinzhou,Dalian 116103,China)  
[Objective] This is a clinical study to explore the curative effects of craniotomy,small bone window penetration(SBWP) and surgery crashing and aspirating hematoma(SCAH) in the treatment of hypertensive intracranial hemorrhage(HCH).[Methods] Eighty basal ganglion HCH patients with GCS score 8 to 12 and 70 basal ganglion HCH patients with GCS score 5 to 7 were divided into craniotomy group,SBWP group and SCAH group from June of 2003 to June of 2008.They were performed with respective surgical operation.[Results] In the 80 cases of GCS score 8 to 12,28 of them were in craniotomy group;27 were in SBWP group and 25 were in SCAH group.Curative effect and prognosis in SCAH were better than those in craniotomy and SBWP groups(P0.05).In the 70 patients of GCS score 5 to 7,24 cases were in craniotomy group,23 were in SBWP group and 23 were in SCAH group.Craniotomy group had remarkable difference in curative effect and prognosis(P0.05) if compared to SBWP and SCAH groups.[Conclusion] Generally,if patient's condition is not serious(GCS score 8 to 12),SCAH is superior to SBWP and craniotomy.If patient's condition is serious(GCS score 5 to 7),craniotomy is greater than SBWP and SCAH.
【CateGory Index】: R651.1
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