Forum pracy nad projektem wskrzeszenia The Forge

[yoylqnqvwb]

Different surgical treatment of hypertensive cerebral hemorrhage compared


L9 cases directed aspiration, death and survival of plants 8. Accounted for 471%. GCS> 7 points of light stroke 8O cases, craniotomy in 48 cases,[link widoczny dla zalogowanych], 2 deaths and survival of plants. 4.1%, directed aspiration of 32 cases. No deaths and plant survival. Group 2 patients undergoing hematoma evacuation of 129 cases, the occurrence of postoperative bleeding in 11 cases, 85%: Directional aspiration 5l cases, the occurrence of postoperative bleeding in 9 cases, accounting for l76%. 3 Discussion 3.1 cerebral hemorrhage different surgical operation indications are various ways, are designed to try to relieve the pressure on brain tissue hematoma, cerebral edema the patient through the period of recovery of brain function to promote domestic and foreign for stereotactic hematoma aspiration reported more,[link widoczny dla zalogowanych], but mixed. Reported that most domestic stereotactic hematoma aspiration surgery stroke better results. . However, we believe that hematoma aspiration can not completely replace the traditional hematoma evacuation, both have their own indications for surgery. In this group of cases. Severe stroke (GC, S3 ~ 7 minutes) is better than craniotomy directed aspiration. Analysis may be caused by the following factors: (1) craniotomy to remove the hematoma cavity blood clot more thoroughly, the basic lift the hematoma on the brain tissue of oppression. The directional suction to prevent rebleeding, hematoma volume can only be out of 6O% ~ 70%. The remaining brain tissue hematoma on the role of oppression (2) when the callus large craniotomy,[link widoczny dla zalogowanych], the skull has not put a round wooden post, cerebral edema,[link widoczny dla zalogowanych], increased buffer space when the cranial cavity. The heavy stroke, especially in patients with brain herniation has occurred. Secondary brain edema, brain water arsenic pressure even greater than the hematoma 4 to force a direct role in repression, directed aspiration can not make compensatory cranial space increases. Therefore, hematoma evacuation for treatment of severe stroke compared. In the light stroke patients better than Hematoma Aspiration craniotomy. Because: (1) light in patients with less bleeding,[link widoczny dla zalogowanych], cerebral edema light. Although some cases of hematoma or large amount, but there are obvious reasons for compensatory brain atrophy space increases, without decompressive craniectomy. (2) craniotomy patients with brain damage and when the systemic effects of large cortical craniotomy incision required to remove the wall to stop bleeding after intracerebral hematoma difficult, easy to further damage brain tissue around the hematoma cavity. Patients with high blood pressure due to the long, often complicated by short, can be carried out under local anesthesia, so little effect on the patients body, good for patients to recover. So Hematoma aspiration of light is more suitable for the treatment of stroke. 3.2 to prevent rebleeding after craniotomy rebleeding 8.5% rebleeding directed aspiration group was 17.6%, significantly higher than the craniotomy group. hematoma evacuation in the careful operation, to maintain blood pressure was stable after surgery to prevent bleeding in 4 one. Il Zhejiang Utility Medicine 2000, Volume 5, No. 1 one of the keys. Hematoma aspiration pay attention to control blood pressure stable, but still need to choose into the timing of surgery. We think: early surgery within 24 hours and then prone to bleeding, should be within 24 hours for extraction. herniation occurred within 24 hours were feasible hematoma evacuation. aspirated hematoma required slow, 5ml each time around the stop, so naturally into the hematoma cavity air. aspirated out of the total 6O% ~ 7O% that stopped pumping. This can significantly reduce the postoperative bleeding.