[1]詹煌金,王鹏,李亦明.钻颅引流辅助尿激酶纤溶治疗高血压脑出血的临床效果[J].临床神经外科杂志,2016,(04):301-303.
 ZHAN Huang-jin,WANG Peng,LI Yi-ming..Clinical effects on microinvasive treatment of hypertensive intracranial hematomas with drainage plus Urokinase[J].Journal of Clinical Neurosurgery,2016,(04):301-303.
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钻颅引流辅助尿激酶纤溶治疗高血压脑出血的临床效果()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2016年04期
页码:
301-303
栏目:
临床研究
出版日期:
2016-07-26

文章信息/Info

Title:
Clinical effects on microinvasive treatment of hypertensive intracranial hematomas with drainage plus Urokinase
作者:
詹煌金王鹏李亦明
514411梅州,五华县人民医院神经外科(詹煌金,李亦明); 广东省人民医院神经外科(王鹏)
Author(s):
ZHAN Huang-jinWANG PengLI Yi-ming.
Department of Neurosurgery, Wuhua County People’s Hospital,Meizhou 514411,China
关键词:
高血压脑出血小孔钻颅尿激酶纤溶
Keywords:
hypertensive intracranial hemorrhagetrepanation and drainageurokinase fibrinolysis
文献标志码:
D
摘要:
目的:研究小孔钻颅血肿抽吸引流辅助尿激酶纤溶治疗高血压脑出血的临床效果。方法:回顾性分析103例经小孔钻颅血肿抽吸引流辅助尿激酶纤溶治疗的高血压脑出血患者的临床资料,并与内科保守治疗的患者进行比较。观察、比较治疗后患者的血肿清除率/d、住院时间、病死率与预后及生存质量。结果:手术治疗组的死亡率明显低于对照组;手术治疗组的血肿清除/吸收时间为(7±2)d、平均住院时间(15±5)d,保守治疗组的血肿清除/吸收时间为(18±5)d、平均住院时间(21±7) d;手术治疗组均明显短于保守治疗组(均P<0.05)。结论:钻颅引流辅助尿激酶纤溶治疗高血压脑出血的效果优于内科保守治疗。
Abstract:
Objective:To explore the clinical effects of drainage plus urokinase in the treatment of hypertensive intracranial hemorrhage. Methods:Clinical data of 103 cases with hypertensive intracranial hemorrhage, treated with drainage plus urokinase were analyzed retrospectively. Patients treated with conservative treatments were used as control group. Results:after the treatments, hematoma clearance rate per day, hospital stays, mortality and quality of life between the two groups were compared. Results:Mortality in surgical treatment group was lower than that in control group. Hematoma clearance and absorption time in surgical treatment group was (7±2) days, and the average length of hospital stay was (15±5) days. While hematoma clearance and absorption time in surgical treatment group was (18±5) days, and the average length of hospital stay was (21±7) days. Conclusions:Drainage plus urokinase is superior to conservative treatments for the treatment of hypertensive intracranial hemorrhage.

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更新日期/Last Update: 2016-08-10