摘要： 共198 例基底节中等量（30 ~ 60 ml）出血患者，均于发病7 d 内在局部麻醉下行经额钻孔血肿引流术，2 例死亡、5 例持续植物状态生存，其余191 例随访6 个月时预后达中度依赖、轻度依赖和完全独立者171 例，治疗总有效率约为86.36%（171/198）。提示经额钻孔引流术治疗基底节中等量出血安全可靠、疗效显著。

关键词: 颅内出血, 高血压性, 基底神经节, 引流术

Abstract: In this study, 198 patients with moderate basal ganglia hemorrhage (30-60 ml) were treated with craniopuncture and drainage through frontal approach within 7 d after onset. Conventional symptomatic treatment was adopted after the operation. Two patients died and 5 were in persistent vegetative state [Glasgow Outcome Scale (GOS) Ⅱ]. All survivals were followed up for 6 months after operation, and 171 patients achieved good results [Activity of Daily Living Scale (ADL) and Barthel Index (BI) of moderate, mild dependence or complete independence]. The total efficiency was 86.36%(171/198). Transfrontal craniopuncture and drainage is a safe and effective method for the treatment of moderate basal ganglia hemorrhage.

Key words: Intracranial hemorrhage, hypertensive, Basal ganglia, Drainage