The Application of Minimally Invasive Puncture and Drainage of Intracranial Hematoma for Hypertensive Intracerebral Hemorrhage
- VernacularTitle:应用颅内血肿穿刺引流系统微侵袭治疗高血压性脑出血
- Author:
Yi YAO
;
Xiaobin ZHANG
;
Jiandong JIANG
;
Dezhi HUANG
;
Changliang YANG
;
Yun FANG
- Publication Type:Journal Article
- Keywords:
hypertensive intracerebral hemorrhage;
puncture;
drainage
- From:
International Journal of Cerebrovascular Diseases
2008;16(3):185-188
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To invetigate the value of a novel puncture and drainage of intracranial hematoma for the treatment of hypertensive intracerebral hemorrhage.Methods:In the group there were 27 patients with hypertensive intracerebral hemorrhage,with mean age of 61 years. Their hematomas located in thalamus(1 patient),basal ganglia(22 patients),and lobe(4 patients).The mean(SD)hematoma volume was 40(3.2)mL,the mean Glasgow Coma Scale (GCS)score was 10.15,and the mean National Institutes of Health Stroke Scale(NIHSS)score was 30.65 at admission.CT scan provided hematoma location.and the percutaneous puncture. grind and drainage were performed under the local anesthesia by using a novel puncture and drainage of intracranial hematoma.Results:No adverse events occurred during the punctures and after the procedures.One patiems died 20 days after procedure.Other patients were followed up for more than 6 months.Eight patients had a good outcome as assessed by Glasgow Outcome Scale(GOS)scores,15 had mild disability,2 had serious disability,and 1 was in a permanent vegetative state.Conclusions:This novel puncture and drainage of intracranial hematoma can be used in the treatment of hypertensive intracerebral hemorrhage,and it is simple and safe.
