【摘要】 目的 探讨YL-l型颅内血肿粉碎穿刺针治疗丘脑大出血继发脑室出血的疗效。 方法 A组14例通过两次定位法经患侧颞部头皮、颅骨直接小钻孔快速进入并固定在丘脑血肿中心靶点上 ,行抽吸、射流融碎、冲洗振荡、液化、引流以达清除丘脑血肿和脑室血肿的目的。B组13例在A组基础上加行积血多的一侧侧脑室前角直接经皮、颅骨小钻孔进入而达分别清除丘脑血肿和脑室血肿的目的。另设C组14例为内科常规治疗分别与A组、B组作对照。结果 A、B两组的疗效明显优于C组 ,而A、B两组比较疗效相近。结论 对Greab计分≤9而无Ⅲ、Ⅳ脑室铸形或双侧脑室同时铸形 ,并无全脑室扩张的丘脑大出血继发脑室出血的患者宜用A组疗法。但对Greab计分≥10,或≤9分而有Ⅲ、Ⅳ脑室铸形或双侧脑室同时铸形 ,或并有全脑室扩张的丘脑大出血继发脑室出血的患者宜用B组疗法更多还原

【Abstract】 Objective To examine the curative effect of YL-l model evacuation of intracranial hematoma paracentetic needle to treat secondary Ventricular hemorrhage induced by thalamus massive hemorrhage. Methods In group A(14cases)YL-l model evacuation of intracranial hematoma paracentetic needle were put into crania quickly through temporal scalp and scull and were fixed at the central target of thalamus hematoma.Then aspirating,thawing,flushing,liquefying and draining were accomplished in order to clean the thalamus hematoma and ventricular hematoma.In group B(13cases),on the basis of group A,YL-l model evacuation of intracranial hematoma paracentetic needle were put into crania through scalp and scull at the side of more hemorrhage side at ventricle anterior horn to clean thalamus hematoma and ventricular hematoma.Group C as control group(14cases),were treated with routine medicine methods. Results The curative effect of group A and B were better than that of group C evidently,but the curative effect of group A was similar to that of group B. Conclusion Patients of thalamus massive hemorrhage whose Gresb’s mark≤9and having noⅢ,Ⅳventricular or two sides lateral ventricle casting and no whole ventricle dilation should be treated with the therapeutics of group A.But patients of thalamus massive hemorˉrhage whose Greab’s mark≥10or≤9and having two sides lateral ventricle casting or whole ventricle dilation should be treated with the therapeutics of group B.更多还原