摘要
目的探讨老年小脑出血患者的治疗方案。方法回顾分析32例老年小脑出血患者的临床资料,比较保守治疗与手术治疗的疗效。结果保守治疗患者17例中14例治愈,3例死亡;手术治疗患者15例中8例治愈,6例患者留有后遗症,影响生活质量,1例死亡。结论治疗选择需根据意识状态分级情况并结合影像学结果来决定,意识分级Ⅱ级以上者建议选择保守治疗,而不论血肿大小,除非病情有恶化者;意识分级Ⅲ～Ⅳ级且血肿量≥20 mL或合并梗阻性脑积水者建议手术治疗;意识分级Ⅴ级者无论何种治疗方案预后均差,不建议手术治疗。
Objective To explore the treatment for the elderly patient with cerebellar hemorrhage. Methods Thirty-two cases with cerebellar hemorrhage were included in this study. The curative effect was analyzed retrospectively between conservative Results Fifteen cases accepted surgical operation, treatment patients （n =17）and surgical patients. in which 8 of them got well, 6 got deformities （n= 15）, one case was dead. Seventeen cases accepted conservative treatment, 14 of them got well, 3 cases died. Conclusion The selection of treatment should be determined by the patients＇ consciousness and radiography. Unless the patients＇ condition worsens, conservative treatment is appropriate to the patients with more than grade 2 （according to consciousness classification）. For those of grade 3 to 4, with 20 mL or more of the size of hematoma, or with obstructive hydrocephalus, surgical procedure is a necessary choice. Due to the poor prognosis of the patients of grade 5, surgery is not recommended.
出处
《岭南现代临床外科》
2013年第5期446-449,共4页
Lingnan Modern Clinics in Surgery
关键词
老年患者
小脑出血
治疗
Elderly patient
Cerebellar hemorrhage
Treatment
