Effect of Minimally invasive drainage of hematoma on hypertensive cerebral hemorrhage in patients with neurological functional recovery / 中国基层医药

Objective To evaluate the efficacy of minimally invasive drairage of hematoma in treatment of hypertensive cerebral hemorrhage. Methods 60 patients with hypertensive cerebral hemorrhage were randomly divided into two groups,including the observation group of minimally invasive hematoma drainage, the control group 30 cases, a small bone window intracranial hematoma,observe and compare the two groups of hypertensive cerebral hemorrhage the neurological function recovery. Results The operative time was significantly shorter than that used in the control group. Postoperative mortality, the difference was significant (P <rate,the difference was significant( P < 0.05 ). Hematoma drainage time of the observation group was significantly shorter than that in the control group,two groups of neural function in SSS score comparison showed that 21 daysafter treatment ,SSS score in observation group was significantly higher in the observation group than the control group. Observation group MRS scores and BI scores were significantly improved, and the ADL rating was significantly beffer than the control group( P < 0.05 or P < 0.01 ). Conclusion The minimally invasive hematoma drainage in the treatment of hypertensive cerebral hemorrhage with a short time, could significantly promote the recovery of neurological function in patients and reduce patient complications and mortality ,but also be neficial to activities of daily living (ADL) recovery.

CT Findings of Late Onset Intracranial Hemorrage in Vitamin K Deficiency / 实用放射学杂志

Objective To study the CT findings of late onset intracranial hemorrhage in vitamin K(Vit K) deficiency.Methods 56 cases of late onset intracranial hemorrhage in Vit K deficiency proved clinically were presented.There were 42 male and 14 female,age ranging 28～60 days.Brain CT scans were obtained in all 56 cases. Results Subarachnoid hemorrage(SAH) in 33 cases,subdural hemorrage(SDH) in 32 cases,intracerebral hemorrage(ICH) in 19 cases and inraventricular hemorrage(IVH) in 8 cases were found.The hemorragic amount was ranged 2～150 ml.Simple hemorrage was demonstrated in 26 cases,and multiple mixed hemorrage in 30 cases.The cerebral edema was displaied in 16 cases.Conclusion SAH,SDH and multiple mixed hemorrage are common seen in the late onset intracranial hemorrage in Vit K deficiency.