Treatment of senile hypertensive hemorrhage with punch drainage and lateral ventricle puncture: a report of 168 cases
10.3760/cma.j.issn.1671-8925.2011.04.021
- VernacularTitle:血肿腔钻孔联合侧脑室置管引流治疗老年性高血压脑出血的临床研究(附168例报道)
- Author:
Wen-De ZHANG
1
;
Qin-Fen WU
;
Zhi-Hao ZHOU
;
Jie YIN
;
Jian-Hong WANG
;
Xi ZHENG
;
Dong-Dong WANG
;
La-Ding MO
;
Wei-Feng DI
Author Information
1. 解放军第474医院
- Keywords:
Cerebral hemorrhage,hypertensive;
Punch drainage;
Ventricle puncture;
Urokinase;
The elderly
- From:
Chinese Journal of Neuromedicine
2011;10(4):410-412
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical treatment efficacy of punch drainage combined with ventricle puncture in patients with senile hypertensive hemorrhage. Methods One hundred and sixty-eight patients with senile hypertensive hemorrhage, admitted to our hospital from March 2002 to February 2009, were treated by punch drainage combined with ventricle puncture and hematoma dissolution with urokinase. Meanwhile, follow-up for 6-12 months was performed to every patient; the postoperative treatment effects and complications were evaluated by Glasgow Outcome Scale; the relations between the prognosis and both the amount of intracerebral hemorrhage and grades of consciousness situation were statistically analyzed. Results Good prognosis was noted in 91 patients,mild disability in 41, severe disability and vegetative state in 13, and death in 23; few postoperative complications were noted. The prognoses were significantly different in patients with different amounts of intracerebral hemorrhage; so are those in patients with different grades of consciousness situation (P＜0.05); the prognosis of patients under grade Ⅰ-Ⅱ consciousness situation was better than that of patients under grade Ⅲ-Ⅳ consciousness situation and the prognosis of patients with hemorrhage between 30-70 mL was obviously better than that of patients with hemorrhage above 70 mL. Conclusion The punch drainage combined with ventricle puncture and hematoma dissolution with urokinase is an effective treatment method for patients with senile hypertensive intracerebral hematoma.
