Treatment of acute severe hypertensive cerebral hemorrhage by burr hole drainage combined with craniotomy evacuation of hematomas
TIAN Jun
QU Zhe
JIANG Bo
SONG Chun-wang
ZUO Shu-hao
Abstract：Objective To explore the clinical effect of burr hole drainage combined with hematoma evacuation through craniotomy with small bone flap on acute severe hypertensive cerebral hemorrhage (HCH).Methods Of 100 hundred patients with acute severe HCH undergoing operation from January 2015 to October 2016,40 were treated with hematoma evacuation through craniotomy with small bone flap (control group) and 60 were treated by burr hole drainage combined with hematoma evacuation through craniotomy with small bone flap (observation group).Results The rates of postoperative pulmonary infection (25.0％,15/60),rebleeding (11.7％,7/60) and stress ulcer (10.0％,6/60) were significantly lower in the observation group than those [60.0％ (24/40),27.5％ (1 1/40),25.0％ (10/ 40),respectively] in the control group (P＜0.05).There was no signifiant difference in the preoperative GCS score between the observation group [(6.6±2.2) points] and the control group [(6.9±1.8) points;P＞0.05].The GCS score in the observation group [(11.4±3.3) points] was significantly higher than that [(9.4±2.7) points] the control group 3 months after operation (P＜0.05).The GOS score in the observation group was significantly better than that in the control group 6 months after the operation (P＜0.05).Conclusion The use of burr hole drainage combined with hematoma evacuation through craniotomy with small bone flap in the treatment of acute severe HCH can reduce the rate of postoperative complications,improve the state of consciousness and improve the progonosis.
Keywords：Acute severe hypertensive cerebral hemorrhageBurr hole drainageCraniotomyHematoma evacuationPrognosis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 305-307 )