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目的评价基层医院高血压脑出血急性期治疗方案的选择与预后的关系,旨在了解对该病的治疗状况。方法采用回顾性分析研究,入组沙河市人民医院高血压脑出血急性期患者498例,比较外科开颅手术、血肿微创清除术及内科保守治疗三种治疗方案与预后的关系,并行统计学分析。结果开颅术组病死率明显高于另外两组;微创组与保守组病死率相当,但微创组血肿量明显大于保守组;开颅术组手术开始时间明显滞后于微创组。结论血肿微创清除术效果良好,但对开颅手术掌握过于严谨,有待提高。
Objective To evaluate the relationship between the choice of prognosis and the treatment of hypertensive intracerebral hemorrhage in acute stage of primary hospital so as to know the treatment of the disease. Methods A retrospective analysis of 498 patients admitted to Shahe People ’s Hospital of acute cerebral hemorrhage with hypertension, surgical craniotomy, minimally invasive hematoma removal and conservative treatment of the three treatment regimens and prognosis, parallel statistics analysis. Results The mortality of craniotomy group was significantly higher than that of the other two groups. The mortality of minimally invasive group and conservative group was the same, but the volume of hematoma in minimally invasive group was significantly larger than that in conservative group. The time of craniotomy was significantly delayed in craniotomy group compared with minimally invasive group. Conclusion Hematoma minimally invasive removal of the effect of good, but craniotomy master too rigorous, need to be improved.