Comparison on different strategies for treatments of hypertensive hemorrhage in the basal ganglia region with a volume of 25 to 35ml

Acta Cirurgica Brasileira

Wei Zheng¹  Chunpu Zhang¹  Dapeng Hou¹  Chunguang Cao¹ 

关键词: Intracranial Hypertension;    Basal Ganglia Hemorrhage;    Punctures;    Hipertensão Intracraniana;    Hemorragia dos Gânglios da Base;    Punções;   

DOI  :  10.1590/S0102-86502012001000010

来源: SciELO

【 摘 要 】

PURPOSE: To compare curative effect of different treatments for hypertensive cerebral hemorrhage of 25 to 35ml. METHODS: In this study, 595 cases were enrolled and grouped regarding treatments including conservative treatment, evacuation with microinvasive craniopuncture technique within 6h and 6-48h after the attack. RESULTS: After follow up for three months after the attack, the assessment based on the Activity of Daily Living (ADL) indicated no significant difference among conservative treatment and surgical interventions (p>0.05). However, surgical interventions showed advantages of shorter hospitalization, quick removal of hematoma and obvious reduction of cost. CONCLUSION: The microinvasive craniopuncture technique to drain the hematoma within 6-48h may be a good way in treating hypertensive hemorrhage of basal ganglia region.

【 授权许可】

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