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[目的]探讨脑内张力性血肿临床规律及有效治疗方法。[方法]经CT扫描并为手术证实的脑内张力性血肿共6例,对CT片、临床表现特点、治疗经过等回顾分析。[结果]高血压性脑出血10例,初期血肿量小于30ml,发病7～15d左右,临床症状加重,CT扫描见高密度血肿灶周围出现环形低密度改变,并伴有明显占位效应,是诊断脑内张力性血肿的主要依据。[结论]内科保守治疗脱水药使用时间较长(加活血药物),外科施行颅骨钻孔,血肿穿刺抽吸术,病情迅速好转,预后良好。
[Objective] To investigate the clinical rules and effective treatment of intracerebral hemorrhagic hematoma. [Method] Six cases of intracerebral hemorrhagic hematoma confirmed by CT scan and operation were retrospectively analyzed on the CT film, clinical manifestations and treatment. [Results] 10 cases of hypertensive intracerebral hemorrhage, initial hematoma less than 30ml, onset of about 7 ~ 15d, clinical symptoms aggravated, CT scan seen around the high-density hematoma circular low density changes, accompanied by significant placeholder effect is The main basis for diagnosis of intracerebral hemorrhage. [Conclusion] conservative treatment of traditional Chinese medicine dehydration medicine longer (plus blood drug), surgical skull drilling, hematoma aspiration, the condition improved rapidly, the prognosis is good.