Early-stage Minimally Invasive Aspiration for the Treatment of Hypertensive Cerebral Hemorrhage(HICH):110 Cases of Clinical Analysis

Objective To evaluate the therapeutic efficacy and security of CT-guided minimally invasive soft skull channel drainage in the treatment of hypertensive cerebral hemorrhage.Methods The hypertensive cerebral hemorrhage patients that diagnosed by CT scan,and with the CT localization the soft channel intubation were performed under local anesthesia.Afterwards,20 000 U urokinase were fractionally injected into the haematoma cavity with constant drainage to dissolve it.Results After the operation,91 cases survived(survival rate: 82.7%) among which the activities of daily living(ADLs) grade were as follows: grade Ⅰ 16 cases,grade Ⅱ 24 cases,grade Ⅲ,35cases,grade Ⅳ 12 cases,grade Ⅴ 4 cases.68.18%(75/91) patients were defined as remarkable recovery(grade Ⅰ-grade Ⅲ).Conclusion The minimally invasive craniopuncture technique was safe and practical in the treatment of hypertensive cerebral hemorrhage.