摘要：目的：探讨微创小骨窗开颅血肿清除术治疗高血压脑出血的效果。方法：将32例入院的高血压脑出血病例在头颅CT片指导下，行颞部直切口，小骨窗约3cm×3cm，直视下清除血肿，活动性出血以电凝止血。结果：28例中，18例完全恢复，生活半自理5例，偏瘫3例，无植物生存，死亡2例，死亡率10.7%。结论：应用超早期小骨窗开颅治疗高血压脑出血，既有简便，直接，微创和有效等优点，是比较理想的治疗高血压脑出血的措施。

    关键词：高血压脑出血；微创手术;死亡率

    Therapy of Hypertensive Cerebral Hemorrhoge in Small Bone Window Craniotomy Operation in Super Early Stage

    YANG Cong,LI Deng-feng,GUO Yong-tian

    (Yihui Hospital of Shanwei, Guangdong Shanwei 516600, China)

    Abstract: Objective: To explore the effects of minilally invasive operation (small bone window penestration in super early stage) on hypertensive cerebral hemorrhage. Method: Directed by the patient’s skull CT. 32 cases are operated on using the minimal invasive operation with incisions measuring,The bone window was only 3.0×3.0cm .the hematoma was sucked out liquid direct vision and active bleeding was theated whih electric coagulation. Result: Among the 28 cases,2 cases died,and the death rate was 10.7%,18 cases completely recovered and 5 cases were semrself-cared .3 cases were in hemiplegia ,and no patient was in persistent vegetative state. Conclusion: The treatment of hypertensive cerebral hemorrhage by the small bone window in super early stage is simple , convenient ,direct ,miniwounded ,effective,This is an ideal curement for hypertensive cerebrel hemorrhage. ......