高血压性脑出血发病、死亡、致残和复发率均高。保守治疗效果差,恢复慢。开颅血肿消除创伤大,年老、重危者多难以接受而失去治疗时机。国外采用CT立体定向手术,耗资昂贵。国内已见多篇采用简易CT定位,本文旨在探讨早期(病后36小时内)钻颅碎吸治疗高血压脑出血的效果,现报告如下。 1 一般资料 碎吸治疗21例,另17例,女4例;年龄51—73岁(平均61岁)。高血压病史2—5年7例,6—10年11例,>10年3例。昏迷指数(GCS)分值5—7分者2例,8-12分者11例,>12分者8例。头颅CT证实基底节区18例,左基底节出血破入脑室2例,丘脑出血1例。血肿容积测定按多田氏公式计算血肿量。本组碎吸前 Hypertensive intracerebral hemorrhage incidence, death, disability and recurrence rates were high. Poor conservative treatment, slow recovery. Craniotomy to eliminate trauma hematoma, old, critically ill and more difficult to accept the opportunity to lose treatment. Foreign stereotactic CT surgery, expensive. China has seen many articles using simple CT positioning, this article aims to explore early (within 36 hours after sick) drilling craniocerebral suction treatment of hypertensive intracerebral hemorrhage results are as follows. 1 General Information Residue therapy in 21 cases, another 17 cases, 4 females; aged 51-73 years (mean 61 years). Hypertensive history of 2-5 years in 7 cases, 6-10 years in 11 cases,> 10 years in 3 cases. Coma index (GCS) Score 5-7 points in 2 cases, 8-12 points in 11 cases,> 12 points in 8 cases. Head CT confirmed 18 cases of basal ganglia, left basal ganglia hemorrhage into the ventricle in 2 cases, 1 case of thalamic hemorrhage. Hematoma volume determination according to Tada formula to calculate the amount of hematoma. This group before crushing suction