脑出血迟发型血肿扩大的机制和治疗效果分析

发布时间：2019-04-24 18:17

【摘要】：目的分析脑出血迟发型血肿扩大的机制和治疗效果。方法回顾性分析2013年8月—2016年8月我院收治的68例脑出血迟发型血肿扩大患者临床资料,按治疗方式不同分为两组,每组34例,对照组行保守药物治疗,观察组行微创手术治疗,比较两组治疗后神经功能缺损及恢复情况,并观察观察组血肿红细胞情况。结果观察组NIHSS评分、mrs评分均优于对照组(P0.05),观察组均存活,对照组1例死亡。观察组中红细胞崩解破坏且皱缩占8.82%,红细胞崩解破坏且皱缩、新鲜占91.18%。结论脑出血迟发型血肿扩大的机制可能为外膜血肿反复出血与部分凝血障碍;与药物治疗比,微创颅内血肿穿刺清除术的治疗效果显著,彻底清除患者血肿,减少其神经功能损伤,有利于神经功能恢复。
[Abstract]:Objective to analyze the mechanism and therapeutic effect of delayed hematoma enlargement in cerebral hemorrhage. Methods the clinical data of 68 patients with delayed hematoma enlargement of intracerebral hemorrhage admitted to our hospital from August 2013 to August 2016 were retrospectively analyzed. They were divided into two groups according to different treatment methods, 34 cases in each group, and 34 cases in control group were treated with conservative drugs. Observation group was treated with minimally invasive operation, the nerve function defect and recovery were compared between the two groups, and the hematomas and red blood cells in the observation group were observed. Results the scores of NIHSS and mrs in the observation group were better than those in the control group (P0.05). The observation group survived and one case died in the control group. In the observation group, 8.82% of red blood cells were destroyed by disintegration and shrinkage, 91.18% were fresh, and 8.82% were destroyed by disintegration and shrinkage of red blood cells. Conclusion the mechanism of delayed hematoma enlargement in cerebral hemorrhage may be recurrent hemorrhage of adventitia and partial coagulation disorder. Compared with the drug treatment, the minimally invasive puncture removal of intracranial hematoma has a significant therapeutic effect. It can completely clear the hematoma of the patients and reduce the nerve function injury, which is beneficial to the recovery of the nerve function.
【作者单位】：山东省金乡县人民医院;
【分类号】：R743.34

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