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Clinical Experience on Three Kinds of Surgical Treatment for Hypertensive Intracerebral Hemorrhage

Jiang Liang

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Abstract

Objective To explore three kinds of surgical treatment for hypertensive intracerebral hemorrhage. Methods The clinical application of three surgical treatments for hypertensive intracerebral hemorrhage including clearance of hematoma by craniotomy with great bone flap, small bone window and minimally invasive puncture were compared according to amount of bleeding and GCS score. Results The GOS classifications at discharge in all 96 patients were as follows: 12 cases of level I, 14 cases of level Ⅱ, 13 cases of level Ⅳ, 9 cases in level V and 16 cases of death. Conclusions Three kinds of surgical treatment have its corresponding indication; choosing appropriate surgical modality for hypertensive intracerebral hemorrhage according to physical condition is important to patients' recovery and reducing the complications.

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What this paper is about

Objective To explore three kinds of surgical treatment for hypertensive intracerebral hemorrhage. Methods The clinical application of three surgical treatments for hypertensive intracerebral hemorrhage including clearance of hematoma by craniotomy with great bone flap, small bone window and minimally invasive puncture were compared according to amount of bleeding and GCS score. Results The GOS classifications at discharge in all 96 patients were as follows: 12 cases of level I, 14 cases of level Ⅱ, 13 cases of level Ⅳ, 9 cases in level V and 16 cases of death. Conclusions Three kinds of surgical treatment have its corresponding indication; choosing appropriate surgical modality for hypertensive intracerebral hemorrhage according to physical condition is important to patients' recovery and reducing the complications.

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Available abstract

Objective To explore three kinds of surgical treatment for hypertensive intracerebral hemorrhage. Methods The clinical application of three surgical treatments for hypertensive intracerebral hemorrhage including clearance of hematoma by craniotomy with great bone flap, small bone window and minimally invasive puncture were compared according to amount of bleeding and GCS score. Results The GOS classifications at discharge in all 96 patients were as follows: 12 cases of level I, 14 cases of level Ⅱ, 13 cases of level Ⅳ, 9 cases in level V and 16 cases of death. Conclusions Three kinds of surgical treatment have its corresponding indication; choosing appropriate surgical modality for hypertensive intracerebral hemorrhage according to physical condition is important to patients' recovery and reducing the complications.

Key concepts: Medicine, Intracerebral hemorrhage, Craniotomy, Surgery, Hematoma, Anesthesia, Glasgow Coma Scale

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