微创侧脑室置管治疗自发性脑室出血49例临床分析

Minimally invasive treatment of spontaneous lateral ventricle catheter clinical analysis of 49 cases of intraventricular hemorrhage.

目的总结自发性脑室出血的治疗方法和疗效。方法采用一侧或双侧侧脑室穿刺置管引流,使用尿激酶多次灌注,辅以腰椎穿刺治疗49例自发性脑室出血。结果恢复良好12例(24.5%),中度残疾18例(36.7%),重度残疾11例(22.4%);植物生存2例(4.0%);死亡6例(12.2%)。结论微创脑室穿刺引流术加尿激酶灌注引流,结合腰穿及其它综合治疗措施,可加速廓清脑室内及蛛网膜下腔的血性脑脊液,减少脑血管痉挛的程度,减少交通性脑积水的发生,用于治疗自发性脑室出血可获得满意效果。

Objective To summarize the treatment of spontaneous intraventricular hemorrhage and efficacy. Methods A u- n/lateral or bilateral lateral ventricle puncture drainage, multiple use of urokinase infusion, combined with treatment of 49 cases of lumbar puncture in spontaneous intraventricular hemorrhage. Results There was good recovery in 12 cases （24.5%）, moderate disability in 18 cases （36.7%）, severe disability in 11 patients （22.4%）; plant survival in 2 cases （4.0%）; 6 deaths （12.2%）. Conclusion Minimally invasive ventricular puncture drainage drainage plus urokinase infusion, combined with comprehensive treatment of lumbar puncture and other measures, can accelerate the clearance of intraventricular and subarachnoid of bloody cerebrospinal fluid, reduce the degree of cerebral vasospasm, reduce traffic hydrocephalus occurrence, for the treatment of spontaneous intraventricular hemorrhage obtain satisfactory results.