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《Journal of Clinical Research》 2006-07
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Clinical Probe on Hypertensive Intracerebral Hemorrhage of 180 Cases Treated by Micro-Traumatic Operation to Clear Away Shattered Hematoma by Puncture

LIU Jian-jun(the Fourth People's Hospital of Shang Qiu,Henan 476100,China)  
【Objective】To discuss the curative effect of hypertensive cerebral hemorrhage treated by micro-traumatic operation(MTO),the factors influencing the curative effect and the best opportunity of MTO.【Methods】After 180 cases of hypertensive cerebral hemorrhage patients were simply and three-dimensionally located according to CT film,puncture of hematoma target was made by one-off smashing acus of LY-1,to pump,rinse and then fluidify the hematoma by the biochemical and enzymatic technology,to melt and clear away the hematoma.【Results】One hundred and fifty eight cases were improved or cured,22 cases died among 180 cases.The total curative ratio was 87.77% and the dead ratio was 12.22%.After three months,the living 158 cases were classified by the ADL classifying method,129 cases belonged to the first to third ADL.The curative ratio amounted to 71.67% and serious to cripple ratio was 16.11%.The curative result was obviously supeior to the effect of medical conservative therapy and open neurosurgery.The MTO made the re-bleeding ratio lower during the 6~24 hours of hemorrhage and the qualities of life higher.【Conclusion】MTO is convenient and minimally invasive.Urokinase can melt blood clot and obviously reduce the dead ratio and the cripple ratio.MTO is the best way to treat hypertensive cerebral hemorrhage.The best opportunity of operation is 6~12 hours after hemorrhage.
【CateGory Index】: R651
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