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中华神经创伤外科电子杂志 ›› 2015, Vol. 01 ›› Issue (02) : 44 -48. doi: 10.3877/cma.j.issn.2095-9141.2015.02.013

专题笔谈

高血压脑出血微创血肿穿刺引流治疗进展
钱东翔1,()   
  1. 1.510515 广州,广州医科大学附属第三医院神经外科
  • 收稿日期:2015-02-05 出版日期:2015-04-15
  • 通信作者: 钱东翔
  • 基金资助:
    广州医科大学附属第三医院博士启动项目(2013Y01)

The progress of minimally invasive puncture and drainage on hypertensive intracerebral hemorrhage patients

Dongxiang Qian1,()   

  1. 1.The Department of Neurosurgery, The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510515
  • Received:2015-02-05 Published:2015-04-15
  • Corresponding author: Dongxiang Qian
引用本文:

钱东翔. 高血压脑出血微创血肿穿刺引流治疗进展[J]. 中华神经创伤外科电子杂志, 2015, 01(02): 44-48.

Dongxiang Qian. The progress of minimally invasive puncture and drainage on hypertensive intracerebral hemorrhage patients[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2015, 01(02): 44-48.

高血压脑出血(HICH)的病死率及致残率都很高,在脑出血后早期消除脑内血肿,可最大限度地减轻或消除继发性脑损害,对减少HICH的残死率有着积极和重要的意义。本文概括了高血压脑出血治疗的历史及现状,详细综述了HICH的微侵袭外科治疗的手术适应证,手术时机的选择,术前定位、靶点选择和置管位置,手术术式的选择;并详细阐述了显微内镜、立体定向技术、神经导航以及血肿穿刺引流等技术的应用。

The fatality rate and mutilation rate are very high among hypertensive intracerebral hemorrhage (HICH) patients. Eliminating the intracerebral hematoma in the early phase after intracerebral hemorrhage can minimize or eliminate the secondary brain damage, which has a positive and important significance to reduce the fatality rate of HICH. This paper summarizes the history and current situation of the treatment of hypertensive cerebral hemorrhage, reviewed the operation indication of micro invasive surgical treatment of HICH, the timing of the operation, preoperative localization, target selection and catheter position, the choice of operation method; and illustrated clearly the application of micro endoscopy, stereotactic technique, neuronavigation and hematoma puncture and drainage.

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