【摘 要】目的：分析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50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：50例中，28例完全恢复，生活半自理8例，偏瘫4例，无植物生存，死亡3例，死亡率11% 结论：应用超早期小骨窗开颅治疗高血压脑出血，具有简便，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

    【中图分类号】R 651.1 【文献标识码】A 【文章编号】1004-7484(2012)04- 0062- 01

    【Abstract】Purpose Analysis of minimally invasive bone window hematoma evacuation for hypertensive intracerebral hemorrhage results Method 50 patients hospitalized cases of hypertensive cerebral hemorrhage under the guidance of the head CT scan, temporal straight line incision, a small bone window of about 3cm × 3cm, under direct vision to remove the hematoma, active bleeding to coagulation Result 50 cases, 28 cases of complete recovery, half-life self-care in 8 cases, hemiplegia in 4 cases, no plant life, 3 died, 11% Mortality Conclusion Application of ultra-early craniotomy for small bone window treatment of hypertensive cerebral hemorrhage, is a simple, direct, minimally invasive and effective, etc., is an ideal treatment of hypertensive cerebral hemorrhage measures. ......