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《Journal of Huaihai Medicine》 2008-04
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Value of treatment with micro-wound cleaning combined with hyperbaric oxygen guided by CT on cerbral hemorrhage

CHENG Ming-fu,WANG Lin,XU Mei,et al.(Department of Radiology,The No.123 Hospital of PLA,Anhui 233015,China)  
Objective To study the value of treatment with micro-wound cleaning guided by CT on hypertensive intracerebral hemorrhage(HICH)and the significance of combination with hyperbaric oxygen(HBO).Methods 125 cases of patients with HICH treated with medical expectant treatment(control group)and 223 cases of patients with HICH treated with micro-wound cleaning guided by CT(treatment group)were observed.The treatment group was then divided into two groups:with HBO treatment and without HBO treatment.Furthermore,the changes of hemodynamics before and after the treatment with HBO were also observed.Results The total effective rate of treatment with micro-wound cleaning guided by CT on HICH was 90.14%.There was significant difference compared to the control group(P0.001);the curative effect of earlier period cleaning hematoma was better(χ2=29.89,P0.0001);the prognosis of patients whose hematoma was cleaned within 6 days was better(χ2=10.00,P=0.04).There was no difference between the rate of first time clearance of hematoma and the curative effect(P=0.788).The hemodynamics parameters before and after treatment with HBO were different(P0.01).Conclusion The treatment of micro-wound cleaning guided by CT on HICH is a firstly selected method with the advantages of simple operation,accurate localization and remarkable curative effect.It is worth spreading.The combination with HBO can increase the recovery rate and survival quality.
【CateGory Index】: R743.3
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【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 Shanghai Neurosurgical Cooperation on Hypertensive Cerebral Hematoma Written by:ZHOU Liang Fu,PANG Li,Department of Neurosurgery, Huashan Hospital,Fudan University, Shanghai 200040;Minimally Invasive Surgery for Hypertensive Hematomas——A Prospective Randomized Multiple Centers Trial[J];Chinese Journal of Clinical Neurosciences;2001-02
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