摘要
目的:探讨微创血肿清除术对基底核脑出血患者近期生存率及颅外并发症的影响。方法:回顾性分析118例基底核出血量35～50mL的脑出血患者,其中微创血肿清除术治疗58例(微创组),保守治疗60例(对照组),观察2组患者30d内的生存率及并发症。结果:微创组存活57例,出现重度肺部感染3例,尿路感染2例,上消化道出血2例,顽固性低钠血症4例,脑心综合征3例;对照组存活52例,出现重度肺部感染11例,尿路感染10例,上消化道出血11例,顽固性低钠血症13例,脑心综合征11例。微创组的生存率和肺部感染、尿路感染、上消化道出血、顽固性低钠血症、脑心综合征发生率优于对照组,差异有统计学意义(P<0.05)。结论:微创血肿清除术治疗基底核脑出血可以提高30d内生存率,降低颅外并发症的发生率。
Objective： To investigate the effects of microinvasive evacuating therapy on the 30-day survival rate and the incidence of extracranial complications after ganglionic ICH. Methods： One hundred and eighteen ICH patients with bleeding amount of 30-50 mL were enrolled into this study, 58 Patients were managed with microinvasive evacuating therapy whereas the other 60 patients received traditional treatment as controls. The 30-day survival rate and the incidence of extracranial complications between the two groups were retrospectively analyzed. Results： Among 58 patients treated with microinvasive evacuating therapy, 57 survived more than 30 days, three suffered from severe pulmonary infection, two had urinary system infection, two upper gastrointestinal hemorrhage, four tenacious hyponatremia, and three eerebrocardiac syndrome after the onset of ICH. However, in the control group, the corresponding numbers were 52,11,10,11,13 and 11 respectively. The 30-day survival rate and the incidence of extracranial complications showed a significant difference in the two groups （P〈0.05）. Conclusion： Application of microinvasive evacuating therapy in patients with ganglionic intracerebral hemorrhage can improve the 30- day survival rate and reduce the incidence of the extracranial complications.
出处
《神经损伤与功能重建》
2009年第3期190-192,共3页
Neural Injury and Functional Reconstruction
关键词
微创血肿清除术
基底核脑出血
生存率
并发症
microinvasive evacuation
ganglionic intracerebral hemorrhage
survival rate
complications
