Clinical analysis of 80 cases with hypertensive intracerebral hemorrhage treated by intracranial hemorrhage smash puncture needle with YL-1 type disposable under CT monitoring
10.3760/cma.j.issn.1673-4904.2012.11.005
- VernacularTitle:CT监视下YL-1型一次性使用颅内血肿粉碎穿刺针穿刺治疗高血压性脑出血80例临床分析
- Author:
Xianlin ZHAO
;
Hongzhou JIANG
;
Guojun LIU
;
Tingzhong WANG
- Publication Type:Journal Article
- Keywords:
Intracranial hemorrhage,hypertensive;
Punctures;
Hard puncture needle passage
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(11):14-16
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the clinical value and efficacy of intracranial hemorrhage smashpuncture needle with YL-1 type disposable under CT monitoring in treatment of hypertensive intracerebral hemorrhage.MethodsThe data of 80 cases with hypertensive intracerebral hemorrhage patients who accepted the transcranial puncture under CT monitoring application of YL-1 type disposable intracranial hemorrhage smash puncture needle and drainage of hemorrhage,punctuated with urokinase washout and drainaged residual blood clot.Evaluation criteria:hemorrhage volume reduction,average operation time,preoperative and postoperative Glasgow coma scale(GCS) score,the clinical effect of long-term follow-up.ResultsOperation time was 15-45 (25.0 ± 2.8) minutes;hemorrhage volume was reduced by an average of 30％-80％ (56.8 ± 3.2)％,the average increase of GCS was(2.3 ±0.3) scores,10 cases death in 80 patients,70 survivors' activities of daily living (ADL) assessments:grade ADL 1 in 17 cases ( 24.3 ％ ),grade ADL2 in 36 cases( 51.4％ ),grade ADL3 in 13 cases ( 18.6％ ),grade ADL4 in 3 cases(4.3％ ),grade ADL5 in 1 case ( 1.4％ ).ConclusionsYL-1 type disposable intracranial hemorrhage smash puncture needle under CT monitoring in the treatment of hypertensive intracerebral hemorrhage is a simple,fast and accurate positioning,without craniotomy and blood transfusion,safe and effective operation,but should pay attention to operation indications.
