【摘要】 对105例自发性脑室出血分别行脑室外引流和脑室外引流加脑室内灌注尿激酶治疗。脑室外引流治疗56例,死亡21例(37.5％),脑室外引流加脑室内灌注尿激酶治疗49例,死亡7例(14.29％)。后组治疗可以早期清除脑室内积血,打通脑脊液循环通路,间接引流脑实质内血肿,减轻血肿对周围脑组织压迫,降低颅内压,降低病死率,减少致残率,疗效优于脑室外引流组。更多还原

【Abstract】 105 cases of spontaneous intraventricular hemorrhage confirmed by CT were divided into two groups. One group of 56 cases were treated with the ventricular drainage,and 21 cases(37- 5%)of them died. Another group of 49 cases were treated with the ventricular drainage and ventricular irrigation with urokinase,and 7 cases(14. 29%)of them died. The latter treatment could remove the clot of ventricular hemorrhage,eliminate the obstruction of cerebrospinal fluid (CSF)circulation,and drain indirectly intracerebral hemorrhage away. , Therefore,it may decrease the intracranial pressure. As a result,the mortality and morbidity decreased. The treatment of ventricular drainage associated with ventricular urokinase irrigaton is more effective for spontaneous intraventricular hemorrhage.更多还原