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目的:CT定位锥孔穿刺抽吸治疗高血压脑出血。方法:对89例高血压脑出血患者在发病后8d之内进行CT定位锥孔穿刺抽吸血肿,必要时注入尿激酶后,再分次抽吸。结果:本组治疗有效率达85.39%,在病后72h内治疗效果明显优于3d之后(P<0.01),本法尤其适用于病情Ⅰ~Ⅲ级的患者。结论:CT定位锥孔穿刺抽吸治疗高血压脑出血能有效降低病人死亡率,改善预后。
Objective: To treat hypertensive intracerebral hemorrhage by CT conical puncture aspiration. Methods: 89 patients with hypertensive intracerebral hemorrhage within 8 days after the onset of CT positioning cone puncture aspiration hematoma, if necessary, after injection of urokinase, and then sub-suction. Results: The effective rate of this group was 85.39%. After 72 hours, the treatment effect was obviously better than that of 3d (P <0.01). This method is especially suitable for patients with grade Ⅰ ~ Ⅲ. CONCLUSION: Puncture and aspiration of CT conical puncture for hypertensive intracerebral hemorrhage can effectively reduce the patient’s mortality and improve the prognosis.