[摘要] 目的：探讨小骨窗手术治疗高血压脑出血的方法。方法：对超早期小骨窗手术治疗高血压脑出血47例患者的临床资料进行回顾性分析。结果：生存44例，生存率为93.6%。按ADL分级：Ⅰ级9例(19.1%)，Ⅱ级分级 25例(53.2%)，Ⅲ级 6例(12.8%)，Ⅳ级 3例(6.4%)，Ⅴ级 1例(2.1%)。结论：超早期手术与微创手术联合应用治疗高血压脑出血，在预防脑的继发损害与脑保护两方面能够获得良好的临床效果，提高治愈率、减少死亡率，是值得推荐的一种方法。

    [关键词] 高血压脑出血；小骨窗；超早期；手术

    [中图分类号] R743.34 [文献标识码]A[文章编号]1674-4721(2011)07(c)-059-02

    Clinical study of treatment of hypertensive cerebral hemorrhage by ultra-early small bone window craniotomy

    HUANG Weinian, ZHANG Haijiang, LUO Fuhua, CHEN Bizheng, ZHAO Dingding, WU Qiutao

    Department of Neurosurgery, Tangxia People′s Hospital of Dongguan City, Guangdong Province, Dongguan 523721, China

    [Abstract] Objective: To explore the principle and methods of minimally invasive surgery in the treatment of hypertensive intracerebral hemorrhage. Methods: 47 cases of hypertensive intracerebral hemorrhage were treated by microsurgery in super early stage. Results: The survival rate was 93.6%. The curative effects were classified by using ADL. There were 9 cases of class Ⅰ (19.1%) ......