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Study of CT-guided stereotaxic evacuation of hypertensive intracerebral hematomas

Liu Zong-hui; Li Shi-yue; Tian Zeng-min; et al. (Neurosurgecal Department, Navy General Hospital of PLA, Beijing 100037)  
Abstract CT-guided stereotaxic evacuation of hypertensive intracerebral hematomas was performed in 103 patiets. Hematomas was found in the putamen in 56 cases, thalamus in 19,subcortex in 10, cerebellum in 15, and brain stem in 3. Except less than 10ml in 3 brain stem cases the volume of these hematomas was 20-50ml in 39, 51-100ml in 43 and over 100 ml in 18. The Iiquid hematoma was totally aspirated in 13 patients. Clot type of hematomas were aspirated by Backlund hematoma evacuator in 90 cases: more than 80% of clot was evacuted in 73 patients and 60%-80% clot in 17. Twenty patients of intraventricular hemorrhage were treated by evacuation and intraventricular infusion of urokinase. The operative mortality was 7.8%. Follow up study from 2-72 months in 80 cases: 41% were excellent or good. 29% were mildly disabled and 21% were severely disabled. The long-term results were satisfactory.
【CateGory Index】: R651.1
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