Hypertensive brain-stem hemorrhage
Conditions
Interventions
observation group:3D-slicer assisted stereotactic operation
Control group 1:Lateral brain drainage operation
Control group 2:Conservative treatment
Sponsors
The 101st Hospital of the PLA
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. the diagnosis of hypertension, the onset or admission of the SBP more than 160mmHg and (or) DBP more than 95mmHg; 2. the brain CT examination proved to be brain stem bleeding, excluding hemorrhagic disease, trauma, tumor and other diseases caused by secondary brain stem bleeding; 3. family members insist on surgical removal of hematoma; 4. It accords with the diagnostic standard of severe brain stem hemorrhage, the amount of bleeding is more than 4ml or the hematoma diameter is more than 2cm, and the GCS score is less than 8 points.
Exclusion criteria
Exclusion criteria: 1. Exclude secondary brain stem hemorrhage secondary to hemorrhagic disease, trauma and tumor; 2. Death within 24h is not included in this group; 3. The patient is less than 18 years old or more than 75 years old.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| consciousness;GCS;National Institute of Health stroke scale;autonomous respiration;amount of bleeding;Type of brain-stem hemorrhage;Intraoperative aspiration of hematoma;mRS;Postoperative rebleeding;Cerebral ischemia of Postoperative;Puncture path;??????? ??????? Secondary injury of puncture tract; | — |
Secondary
| Measure | Time frame |
|---|---|
| blood pressure;Limb muscle strength;ADL;GOS; | — |
Countries
China
Contacts
Public ContactXiang Dingchao
The 101st Hospital of the PLA
Outcome results
None listed