Surgical Treatment of Hypertensive Cerebral Hemorrhage

Objective To summarize the surgical experience of treatment of hypertension stroke,stroke for clinical reference for the treatment of hypertension.Methods The hospital in March 2008～ December 2009 58 cases of hypertensive cerebral hemorrhage were treated by surgery for patients with hematoma.Graded according to the patient's consciousness,bleeding,hematoma and other parts of minimally invasive surgical indications were hematoma evacuation(26 cases) and decompress craniotomy hematoma(32 cases) for treatment.Results The minimally invasive hematoma evacuation of patients survived in 24 cases,92、3% survival rate,the use of decompress craniotomy in patients with hematoma survival in 29 cases,90、6% survival rate,postoperative survival rate the difference was not statistically significant(P0.05).Minimally invasive hematoma evacuation in patients with postoperative complications in 4 cases,the rate was 15.38%,the use of decompress craniotomy in patients with postoperative hematoma complications in 3 cases,the rate was 9.38%,two groups of patients postoperative complications,the difference was statistically significant(P0.05).Conclusion Minimally invasive hematoma evacuation for hypertensive cerebral hemorrhage early onset,disturbance of consciousness level grade Ⅰ～Ⅱ patients,decompress craniotomy for hematoma incidence of hypertension in stroke mid-grade Ⅲ～Ⅴ consciousness class of patients.Indications for surgery in patients with appropriate surgical treatment options is the key to achieve good treatment.