Abstract：Objective To find a suitable method for the treatment of large area hypertensive cerebral hemorrhage in the elderly.Methods Retrospective analysis was made of 112 elderly patients with large area hypertensive cerebral hemorrhage. Treatment of traditional bone flap craniotomy and drilling drainage were used. The rates of consciousness recovery in a week after the operation, the rates of postoperative bleeding again, the rates of postoperative complications(pulmonary infection) in two weeks, in-hospital mortality, MRS(Modified Rankin Scale) scores at 30 days after surgery, MRS scores at 3 months after surgery for the two groups were measured and compared.Results The rates of consciousness recovery in a week after the operation were 74.07% and 43.10%, the rates of pulmonary infection in two weeks were 9.26% and 25.86%,and the rates of tracheotomy after the operation were 3.70% and 10.34%,with significant difference(P<0.05), patients with drilling drainage were much better than the patients with traditional bone flap craniotomy. There were significant differences in the MRS scores at 30 days after surgery(χ2＝18.907,P＝0.002) and MRS scores at 3 months after surgery(χ2＝12.642,P＝0.027), patients with drilling drainage were also much better.Conclusions Drilling drainage is a simple and effective method for the treatment of hypertensive cerebral hemorrhage. It damages the brain tissue less. It reduces the incidence of postoperative complications compared with the traditional bone flap craniotomy surgery. Patients can regain consciousness early after the operation, which undoubtedly helps patients recover early. So drilling drainage is the preferred treatment for large area hypertensive cerebral hemorrhage in the elderly.
刘国栋，崔凤启，王守利，闫立民. 老年高血压脑大量出血两种手术疗效比较[J]. 武警医学, 2016, 27(7): 710-713.
LIU Guodong,CUI Fengqi,WANG Shouli,and YAN Limin. Comparison of curative effects of two methods of surgical treatment for large area hypertensive cerebral hemorrhage in elderly. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(7): 710-713.
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