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《Inner Mongolia Medical Journal》 2008-11
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The Application of Minimally Invasive Puncture and Drainage of Intracranial Hematoma for Hypertensive Intracerebral Hemorrhage

ZHAO Wei-li,CUI Qi-fu,YIN Guo-ming(Department of Neurology,The Affiliated Hospital of Chifeng College,Chifeng 024000,China)  
Objective:To invetigate the value of a novel puncture and drainage of intracranial hematoma for the treatment of hypertensive intracerebral hemorrhage.Methods:In the group there were 30 patients with hypertensive intracerebral hemorrhage,with mean age of 55 years.Their hematomas located in thalamus(1 patient),basal ganglia(23 patients),and lobe(6 patients.The mean(SD)hematoma volume was(42±5.2)ml,the mean Glasgow Coma Scale(GCS) score was 10.20,and the mean National Institutes of Health Stroke Scale(NIHSS)score was 31.12 at admission.CT scan provided hematoma location,and the percutaneous puncture,grind and drainage were performed under the local anesthesia by using a novel puncture and drainage of intracranial hematoma.Results:No adverse events occurred during the punctures and after the procedures.After procedure all the patients were followed up for more than 6 months.12 patients had a good outcome as assessed by Glasgow Outcome Scale(GOS)scores,15 had mild disability,2 had serious disability,and 1 was in a permanent vegetative state.Conclusions:This novel puncture and drainage of intracranial hematoma can be used in the treatment of hypertensive intracerebral hemorrhage,and it is simple and safe.
【CateGory Index】: R651.15
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