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Clinical study on hematoma puncture and catheter drainage in treatment of intracerebral hemorrhage under CT real-time guide

Authors :
Zhong-zheng HE
Zhan-yao WANG
Hong WANG
Yan-ping YANG
An-sheng WANG
Qian-fa LONG
Wen-feng NING
Xiao-ping WU
Shu-yuan YUE
Source :
Chinese Journal of Contemporary Neurology and Neurosurgery, Vol 18, Iss 11, Pp 796-801 (2018)
Publication Year :
2018
Publisher :
Tianjin Huanhu Hospital, 2018.

Abstract

Objective To study the efficacy and safety of hematoma puncture catheter drainage under CT real-time guide for treatment of intracerebral hemorrhage (ICH). Methods A total of 80 ICH patients with hematoma volume 15-30 ml were given conservative treatment (control group, 40 cases including 6 cases with hematoma volume 15-20 ml and 34 cases with hematoma volume > 20-30 ml) and hematoma puncture and catheter drainage under CT real-time guide (operation group, 40 cases with hematoma volume > 20-30 ml). Conscious states were evaluated by Glasgow Coma Scale (GCS) on admission and 3 d after onset. Neurological deficits of patients were evaluated by National Institutes of Health Stroke Scale (NIHSS) on admission and discharge. Hospitalization days and complications (including rebleeding, epilepsy, intracranial infection, severe pulmonary infection and bleeding caused by digestive tract stress ulcer) were recorded. Results The GCS scores 3 d after onset (P = 0.000) and NIHSS scores on discharge (P = 0.000) of 2 groups were significantly lower than those on admission. The GCS score of operation group was significantly higher (P = 0.003) and NIHSS score was significantly lower (P = 0.000) than that of control group. The hospitalization time of operation group was significantly lower than those of control group [(10.53 ± 2.64) d vs. (17.30 ± 4.92) d; t = 7.673, P = 0.000]. Complications including rebleeding, intracranial infection, severe pulmonary infection and bleeding caused by digestive tract stress ulcer did not occur in patients of 2 groups. Conclusions For supratentorial hemorrhage patients withhematoma volume 15-30 ml, in comparison with conservative treatment, operation with hematoma puncture and catheter drainage under CT real-time guide can save hospitalization days, relieve edema peak response and improve the prognosis. DOI: 10.3969/j.issn.1672-6731.2018.11.007

Details

Language :
English, Chinese
ISSN :
16726731
Volume :
18
Issue :
11
Database :
Directory of Open Access Journals
Journal :
Chinese Journal of Contemporary Neurology and Neurosurgery
Publication Type :
Academic Journal
Accession number :
edsdoj.733526871a6a4369a2506d392428707d
Document Type :
article
Full Text :
https://doi.org/10.3969/j.issn.1672-6731.2018.11.007