抄録
The authors reviewed 38 cases of hypertensive intracerebral hemorrhage operated in peracute or within seven hours after the apoplectic attack. The cases were analyzed in details as follows. Age distribution of the cases showed the highest frequency in the fifties followed by sixties. The level of consciousness on admission was stuporous in 23 cases, semicomatose in 12 cases and lethargic in the rest of 3 cases. According to the timing of the surgery, 25 of 38 cases were operated on until 3 hours after the apoplectic attack. In most cases, the amount of hematoma ranged from 50 to 100 grams.
One of the characteristics of this surgery is to be able to regain the consciousness sooner and more clearly. 21 recovered consciousness until few hours after the surgery.
Functional recovery was remarably improved, when evaluated on 6 th month postoperative day. 12 succeeded to return to their social life, 12 others came back to their home and could enjoy their life independently. 10 of the rest returned home needed partial help. One was bed-ridden and 3 died. Recovery of the paralysed hand has been most difficult problem in subacute operation. In our series, 12 showed almost complete recovery, 4 left mild deficit or had some clumsiness and 5 could hold the light object like a tea cup. All the above results proved the importance of time factor for this surgery.
