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《Acta Academiae Medicine Militaris Tertiae》 2001-05
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Therapeutic effect of intracranial hematoma smash puncture on the aged patient with cerebral hemorrhage

YU Jian min, JU Bo, WANG Yan (Department of Neurology, No. 107 Hospital of PLA, Yantai 264002, China)  
Objective To analyze the advantages of intracranial hematoma smash puncture (IHSP) in the treatment of cranial hemorrhage for the elderly. Methods A total of 104 cases of cerebral hemorrhage admitted in the recent 3 years were collected and divided into 4 groups, i.e. group A, elderly with IHSP treatment ( n =36), group B, elderly with regular medical treatment ( n =33), group C, non elderly with IHSP treatment ( n =21) and group D, non elderly with routine therapy ( n =14). The clinical and follow up outcomes were studied and analyzed. Results There was significant difference in rehemorrhage rate after puncture between group A (0/36) and group C (2/21). Significant difference was found in early mortality rate in group A (16.67%) and group B (39.40%). The rate of activity of daily living (ADL) 1-2 was significantly higher in group A (58.62%) than group B (5.88%)( P 0.005) and that of ADL 4-5 was obvious lower in group A (13.79%) than group B (47.06%)( P 0.025). Conclusion Intracranial hematoma smash hemorrage is safe and efficient in the treatment of elderly cerebral hemorrhage, especially in reducing the disability rate.
【CateGory Index】: R743.34
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