摘要： 根据丘脑出血患者入院时临床表现、出血量、脑室积血程度、中线移位程度、患者或家属意愿，分别选择保守治疗、双侧侧脑室额角钻孔引流术、CT 定位血肿穿刺引流术+ 双侧侧脑室额角钻孔引流术和大骨瓣血肿清除术+ 去骨瓣减压术。120 例患者共死亡33 例，其中保守治疗7 例、双侧侧脑室额角钻孔引流6 例、双侧侧脑室额角钻孔引流术+ CT 定位血肿穿刺引流术8 例、大骨瓣血肿清除术+ 去骨瓣减压术12 例，不同治疗方式之间比较，差异具有统计学意义（P < 0.05）。根据丘脑出血患者病情严重程度、出血量、脑组织受损范围等选择相应治疗方法，有益于提高治愈率及患者生存质量。

关键词: 脑出血, 丘脑, 神经外科手术

Abstract: One hundred and twenty patients with hypertensive thalamic hemorrhage were treated by different methods according to clinical situation and patients or family members. In this study 33 patients died: 7 patients were treated with conservative therapy, 6 patients with bilateral ventricle drainage, 8 patients with bilateral ventricle drainage plus hematoma puncture and aspiration, 12 patients with hematoma evacuation and decompressive cranioectomy. Comparison between different treatments revealed a statistically significant difference (P < 0.05). The treatment for hypertensive thalamic hemorrhage should be treated by different methods according to various clinical conditions to obtain better outcome.

Key words: Cerebral hemorrhage, Thalamus, Neurosurgical procedures