高血压脑出血血肿形态与手术时机的选择

目的对高血压脑出血的血肿形态以及从发病到术后再出血的几率进行研究,从而得出最佳手术时机。方法对50例高血压脑出血患者进行分组,15例为观察组,根据其发生血肿的形态变化,在变为边界规整时,对其行手术治疗;35例为对照组,患者血肿形态不典型,边界不规整,随后进行手术治疗。均采用颞肌下去骨瓣减压血肿清除术,观察组病例脑组织与血肿边界清楚,容易进行止血,而对照组由于脑组织与血肿边界不清楚,止血比较困难。结果观察组病例脑组织破坏范围接近或明显小于术前高密度血肿的大小,其中线移位也得到正常的恢复。结论手术时机的选择不仅需要考虑血肿的形态,还需要考虑血肿大小、出血的部位及时间等。

Hypertension cerebral hemorrhage hematoma shape and timing of surgery

Objective Purpose of hypertension cerebral hemorrhage haematoma shape and from the onset to the risk of postoperative bleeding again to study,so as to obtain the optimal timing of surgery.Methods 50 cases of patients with hypertension cerebral hemorrhage group,15 patients as observation group,according to its change the morphology of hematoma,neat,the into border uneffective surgery;35 cases of control group,patients with hematoma shape is not typical,irregular border,subsequent surgery.Adopt the temporal muscle on bone disc decompression for removal of hematoma,observation group cases of brain tissue border with hematoma clear,easy to bleeding,and the control group due to brain tissue and hematoma is convenient not clear,the bleeding is more difficult.Results Observation group cases of brain tissue damage range close to or less than the size of preoperative high density hematoma obviously,the line displacement also recovered normal.Conclusion Surgical timing of not only need to consider the shape of hematoma,also need to consider the hematoma size,location and time of bleeding,etc.