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大剂量尿激酶治疗自发性脑室出血全脑室铸型14例分析

Analysis of highdose urokinase irrigation in treating 14 patients with spontaneous full-packed intraventricular haemorrhage

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【作者】 韦有佩康健杨金坤李胜龙

【Author】 WEI You-pei,KANG Jian,YANG Jin-kun,et al.(Department of Neurosurgery Lianyungang Second People’s Hospital,Jiangsu 222023,China)

【机构】 江苏省连云港市第二人民医院脑外科江苏省连云港市第二人民医院脑外科 222023222023

【摘要】 目的分析大剂量尿激酶治疗自发性脑室出血全脑室铸型的疗效。方法对14例自发性脑出血全脑室铸型患者采用双侧侧脑室穿刺外引流术及脑室内大剂量尿激酶(10万u)灌注。结果治疗14例,存活10例,死亡4例。10例存活者6个月随访,恢复良好6例,轻瘫2例,重瘫2例。结论该治疗方法操作简单有效,对全脑室铸型出血的患者疗效明显。

【Abstract】 Objective To investigate the effect of double lateral ventricular puncture drainage and repeatedly intraventricular highdose urokinase irrigation in treating spontaneous full-packed intraventricular haemorrhage.Methods The data of 14 patients with spontaneous full-packed intraventricular haemorrhage was collected.All patients underwent double ventricular puncture duct drainage and 100 thousand units urokinase intraventricular irrigation every day until the intraventricular gore was almost dissolved.Results 10 patients survived and 4 died.Among those who survived 6 were well recovered,2 mildly paralyzed and 2 severely paralyzed by 6 months’ follow-up.Conclusion The manipulation of the management is simple and it is effective for full-packed intraventricular haemorrhage.

【关键词】 脑室脑出血尿激酶引流术
【Key words】 Cerebral ventriclesCerebral haemorrhageUrokinaseDrainage
  • 【文献出处】 淮海医药 ,Journal of Huaihai Medicine , 编辑部邮箱 ,2006年05期
  • 【分类号】R743.34
  • 【下载频次】35
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