Curative effect evaluation of CT-guided minimal invasive treatment for cerebral hernia caused by hypertensive cerebral hemorrhage
GU Hongku
FENG Guoyu
HU Guohong
JIAO Qinggui
JIANG Haihui
Abstract：Objeetive The short-term outcomes of CT-guided needle suction and administration of urokinase for intracerebral hematomas were investigated.Methods A total number of 35 patients with cerebral hemorrhage and cerebral hernia who underwent CT-guided needle puncture to remove the hematoma were analyzed retrospectively.YL-1 type intracranial hematoma puncture needle suction and drainage system were used.After irrigating the intracerebral hematoma with normal saline repeatedly,urokinase was administered into the hematoma.Pre-operative Glasgow coma scale (GCS),hematoma volume,operation time,hematoma clearance rate and the outcome of the tretment were recorded.Results There were 4 patients recovered with consciousness,7 with mild coma,3 with moderate coma,4 with severe coma and 8 died.The death rate was 22.9％.Among the deaths,6 died from failure of the brainstem,1 from pneumonia and the last one from re-hemorrhage.Besides,9 patients died from abandoning further treatment.After 3 months'follow-up,27.8％ of the survivors were evaluated as good according to the GOS.Conclusion CT-guided needle suction,urokinase administration and drainage of the intracerebral hematoma for cerebral hernia from hypertensive cerebral hemorrhage can shorten the operation time and improve the survival rate.
Keywords：Hypertension cerebral hemorrhageCerebral herniaCT-guidedMinimal invasive
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 166-168 )