来自广州黄埔的李先生，在前段时间出现头痛，未就诊，饮酒后入睡，第二天发现头痛剧烈，难以忍受，伴有一侧的肢体活动不灵。下午被家人送入家附近一医院，当时血压很高，病人出现神志恍惚，脑CT检查发现右侧颞叶脑内出血40毫升左右，出血量大，需马上急诊手术。随即转入暨南大学附属第一医院神经外科。该院王海东副教授根据病人病情，采用脑内镜下锁孔手术清除脑内血肿。

Mr. Li from guangzhou huangpu,In some time ago appear have a headache,Did not see a doctor,Go to sleep after drinking,The second day found severe headache,Can't stand,Accompanied by physical activities on one side of the work.Afternoon to her family home near the hospital,When blood pressure is high,Patients experienced trance,Brain CT examination found about 40 ml of right temporal lobe brain hemorrhage,The bleeding is big,Need emergency surgery right away.Then moved to jinan university first affiliated hospital of neurosurgery.The hospital Wang Haidong associate professor according to patients condition,Using brain endoscopic keyhole surgery to remove the brain hematoma.

言行异常小心脑出血 And abnormal bleeding in the brain

　　王海东表示，像李先生这样出现早期症状的，就要当心脑出血降临。那么，高血压脑出血早期会出现哪些比较明显的症状呢？王海东介绍，比如突然感到一侧身体麻木、无力、活动不便，手持物掉落，嘴歪、流涎，走路不稳；与人交谈时突然讲不出话来，或吐字含糊不清，或听不懂别人的话；短暂性视物模糊，以后可自行恢复正常，或严重到出现失明；突然感到头痛、头晕，周围景物出现旋转，站立不稳甚至晕倒在地；脑出血危害严重，不及时止血会导致死亡等。

Wang Haidong said,Early symptoms like Mr. Li,To beware of cerebral hemorrhage.then,Hypertension cerebral hemorrhage early what will appear obvious symptoms?Wang Haidong introduction,Such as suddenly felt on one side of the body is numb/Unable to/Activity of inconvenience,Holding objects fall,Mouth is crooked/salivate,To walk unsteadily;Suddenly speak a word when talking to people,Or enunciation unclear,Or don't understand what others say;Transient blurred vision,Later can return to normal,Or serious to develop blindness;Suddenly feel headache/dizzy,Scene from spinning around,Unstable even fainted to the ground;Bleeding in the brain damage is serious,Bleeding can lead to death not in time, etc.

　　王海东强调，脑出血的危害，可以从三个方面分析：一方面是脑出血会导致神经组织的破裂及血块的占位效应，压迫神经，出现偏瘫、失语、意识不清等。二是脑出血血液分解释放坏死物质，容易加重周边脑组织水肿。三是并发肺部感染。肺部感染是脑出血患者的主要并发症和重要死亡原因之一。

Wang Haidong stressed,The harm of brain hemorrhage,Can analysis from three aspects:On the one hand is bleeding in the brain can lead to nerve tissue is broken and the placeholder effect of the blood clot,Oppressive nerve,In hemiplegia/aphasia/Unconsciousness, etc..2 it is bleeding in the brain blood breakdown release of necrotic material,Easy to aggravate the surrounding brain tissue edema.3 it is complicated with lung infection.Pulmonary infection is the main complication of patients with cerebral hemorrhage and one of the important causes of death.

内镜锁孔手术治疗脑出血 Endoscopic keyhole surgery treatment of cerebral hemorrhage

　　高血压性脑出血在脑血管疾病中约占1/3，但其死亡率却占脑血管病人的首位，是中老年人最常见的危重急症和致残、致死原因之一。王海东说，如脑内血肿较大，内科治疗效果差。一般开颅手术创伤很大，效果又不十分理想。内镜锁孔手术清除脑内血肿手术创伤小，手术时间短，出血少，一般不用输血，切口缝合后甚至只要创可贴大小的纱布遮盖就可以了，手术效果明显好于内科保守治疗和常规开颅手术。华侨医院神经外科自2010年开展以来，共治疗20余例，均取得良好的效果。脑内镜锁孔微创手术，其宗旨在于根据个体解剖及病灶特点设计手术入路，通过精确的定位，充分利用有限的空间，去除不必要的结构暴露或破坏，凭借精湛的手术基本功，以最小的创伤取得最好的手术效果。记者 李劼 通讯员 温志勤

Hypertensive cerebral hemorrhage in cerebrovascular disease accounts for about one-third,But the mortality rate of cerebrovascular patients in the first place,Is the most common severe diseases and disability in the elderly/One reason for death.Wang Haidong said,Such as the brain hematoma is bigger,Medical treatment effect is poor.General surgical trauma craniotomy is very large,Effect is not ideal.Endoscopic keyhole surgery to remove the brain hematoma surgical trauma is small,Operation time is short,Less bleeding,Generally no blood transfusion,Even as long as the size of a band-aid after incision suture gauze cover is ok,Operation effect is much better than routine medical conservative treatment and surgical operation.Overseas Chinese hospital neurosurgery since 2010,A total of 20 cases of,Has achieved good effect.Brain lock minimally invasive endoscopy surgery,Its purpose is that according to the individual anatomy and lesion characteristics design approaches,Through accurate positioning,Make full use of limited space,Remove unnecessary structures exposed or destruction,Basic skills with the exquisite precision of his operations,With minimal trauma to achieve the best operation effect.Reporter li jieren the correspondent WenZhiQin