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《Chinese Journal of General Practice》 2010-03
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Clinical Application of Minimally Invasive Treatment of Intracranial Hematoma in Hypertensive Cerebral Hemorr-hage

SHI Xue-ying,YUAN Liang-jin,JIANG Ming-kun,et al.Department of Neurosurgery,Anqing Hospital Affiliated to Anhui Medical University,Anqing 246003,Anhui,China  
Objective To investigate the clinical effect of minimally invasive removal of hypertensive intracerebral hemorrhage.Methods The group of 51 cases of cerebral hemorrhage patients were male and 36 cases,female 15 cases,have history of hypertension Basal ganglia hemorrhage 45 cases(28-90 ml),subcortical hemorrhage in 6 cases(25-55 ml),of which 11 cases of breaking into the ventricle.The puncture point of all patients were determined by CT scan and a marker was made there.then the skull was drilled with YL-1 type of intracranial hematoma puncture needle and the hematoma was sucked out followed by Urokinase fibrinolytic treatment after operation.Results The drainage lasted from 18 hours to 5 days.Among 51 cases under this treatment,the hematoma was removed completely in 19 patients,more than 80% was removed in 27 patients and 60%~80% was removed in 5 patients.Conclusion Minimally invasive drainage was simple,safe and microtraumatic.It can also remove the hematoma efficiently,relieve the space-occupying effect,improve patient quality of life and reduce morbidity and mortality.
【CateGory Index】: R651.1
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