大剂量尿激酶用于高血压脑出血微创清除术的临床观察

Evaluation of large dose of urokinase in the minimally invasive removal of hypertensive cerebral hemorrhage

目的:探讨大剂量尿激酶在高血压脑出血微创清除术的临床应用价值。方法:对35例高血压脑出血患者行微创清除术,抽吸血肿置管引流,并注入大剂量尿激酶溶解,观察患者血肿清除、并发症及功能恢复情况。结果:35例患者均有不同程度的功能恢复,且并发症少见。结论:大剂量尿激酶用于微创清除术治疗高血压脑出血是一种创伤小、操作简单、清除血肿彻底、手术安全、快速的治疗手段。

Objective： To evaluate large dose of urokinase in the minimally invasive removal of hypertensive cerebral hemorrhage. Methods： Thirty-five patients with hypertensive intracerebral hemorrhage were treated by minimally invasive operation, the hematoma was sucked and drained through installed tube, large dose of uroki- nase was infused to the site of hematoma for lysis. Effect of hematoma eradicating, complications and functional recovery were observed. Results： Functions of all patients were recovered on different levels, rarely ocurred complication. Conclusion： Large dose of urokinase used in minimally invasive removal of hypertensive cerebral hemorrhage is a minimally invasive, simple, safe, rapid and effective treatment.