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CT导向置管结合尿激酶灌注引流治疗高血压脑出血的临床研究

CT-guided catherization plus urokinase perfusion and drainage for in hypertensive intracerebral hematoma

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【作者】 金海泉曾祥富

【Author】 JIN Hai-quan, ZENG Xiang-fu ( The First People′s Hospital, Huaihua, Hunan 418000, P.R. China)

【机构】 湖南省怀化市第一人民医院

【摘要】 目的探讨CT导向置管结合尿激酶灌注引流治疗高血压脑出血的疗效。方法分析总结52例高血压脑出血患者采用CT导向置管结合尿激酶灌注引流治疗的经验。结果手术组的绝对平均血肿体积明显少于非手术组(F=563.378,P<0.001),手术组预后优于内科保守治疗组。结论引流结合尿激酶治疗高血压性脑室内和脑内血肿疗效可靠、微创、安全。

【Abstract】 【Objective】To investigate the efficacy of CT-guided catherization and aspirate plus urokinase perfu-sion anticoagulation and drainage for the treatment of intracerebral hematoma. 【Methods】Data of 52 patients with hypertensive intracerebral hematoma treated by CT-guided catherization and aspirate plus urokinase perfusion anti-coagulation and drainage were analysed. 【Results】Compared with conservative treatment group, the absolute mean volume of ICH in surgical treatment groups were significant decreased (t =-49.545, P <0.001). The prognosis evalu-ated by Glasgow Outcome Scale scores performed 3 months later in surgical treatment group was much better than that of conservative treatment group. 【Conclusion】Drainage plus UK is an effective, safe and microinvasive modali-ty for treatment of hypertensive intracerebral hematoma.

  • 【文献出处】 中国现代医学杂志 ,China Journal of Modern Medicine , 编辑部邮箱 ,2008年19期
  • 【分类号】R651.12
  • 【被引频次】4
  • 【下载频次】40
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