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1992年6月～1994年6月,我们采用锥颅碎吸引流治疗高血压脑出血30例,疗效满意。 资料分析:男21例,女9例;年龄38～79岁;病程2～7天。清醒21例,嗜睡5例,昏迷4例。出血发生于基底节区16例,脑叶2例,外囊12例;出血量20～60ml26例,60ml以上4例。 手术方法:根据CT片计算血肿体积,测量血肿的三维坐标,确定穿刺靶点。常规消毒头皮,局麻后用颅骨手锥垂直刺入头皮直达颅骨外板,加压正反旋转力钻颅,成功后按定位深度用脑穿针沿手锥槽穿入血肿,
June 1992 ~ June 1994, we use cone craniotomy suction drainage treatment of hypertensive intracerebral hemorrhage in 30 cases, the effect is satisfactory. Data Analysis: 21 males and 9 females; aged 38 to 79 years; duration of 2 to 7 days. Sober in 21 cases, lethargy in 5 cases, coma in 4 cases. Bleeding occurred in the basal ganglia in 16 cases, 2 cases of cerebral lobe, outer capsule in 12 cases; bleeding 20 ~ 60ml26 cases, 60ml above 4 cases. Surgical methods: Calculate the hematoma volume according to the CT slice, measure the three-dimensional coordinate of the hematoma, determine the puncture target. Conventional disinfection of the scalp, after local anesthesia with skull hand straight into the scalp skull straight skull plate, positive and negative rotation force of drilling the cranial, according to the depth of positioning after the brain penetration needle along the hand taper into the hematoma,