期刊文献+

尿激酶辅助治疗对脑室内出血后交通性脑积水的预防作用 被引量:6

下载PDF
导出
摘要 目的探讨尿激酶辅助治疗对脑室内出血后交通性脑积水的预防作用。方法我院2003—2007年采用单纯侧脑室引流治疗46例自发性脑室出血患者,2007—2011年采用双侧侧脑室引流+脑室内尿激酶纤溶治疗62例患者自发性脑室出血患者,比较2组脑积水发生率。结果单纯侧脑室引流组,置管时间(7.31±2.92)d,术后3周脑积水发生率26.09%;尿激酶辅助治疗引流组置管时间(5.52±2.13)d,术后3周脑积水发生率11.29%,尿激酶辅助治疗引流组效果优于单纯侧脑室引流组(P<0.05)。结论尿激酶脑室内应用治疗自发性脑室内出血,可有效降低交通性交通性脑积水的发生,同时可缩短脑室引流管放置时间。
作者 宋宇
出处 《中国实用神经疾病杂志》 2013年第7期64-65,共2页 Chinese Journal of Practical Nervous Diseases
  • 相关文献

参考文献11

  • 1Darby DG,Donnan GA,Saling MA, et al. Primary intraventric- ular hemorrhage: clinical and neuropsychological findings in aprospective stroke series[J]. Neurology, 1988, 38(3), 68-75.
  • 2Giray S, Sen O, Sarica FB. Spontaneous primary intraventricular hemorrhage in adults: clinical data, etiology and outcome[J]. Turk Neurosurgery,2009, 19(3) : 338 344.
  • 3刘文科,李浩,方媛,王昆,傅敏,董薇,刘翼,游潮.原发性脑室内出血47例前瞻性临床研究[J].中华神经外科杂志,2011,27(8):768-770. 被引量:7
  • 4杨帮国,蒋锐,彭飞.单、双侧侧脑室引流治疗脑室系统出血的疗效对比[J].中国医师进修杂志,2011,34(5):33-35. 被引量:4
  • 5张晓阳.尿激酶灌注对脑室血肿钻孔引流术后的疗效影响[J].中国实用神经疾病杂志,2011,14(4):65-66. 被引量:3
  • 6Findlay JM, Weir BK, Stollery DE. Lysis of intraventricular he matoma with tissue plasminogen activator. Case report [J]. J Neurosurg, 1991,74(5) : 803-807.
  • 7Naff NJ, Hanley DF, Keyl PM, et al. Intraventricular thrombol- ysis speeds blood clot resolution: results of a pilot,prospective, randomized, double blind, controlled trial[J] Neurosurgery, 2004, 54(3): 577-583.
  • 8Lapointe M, Haines S. Fibrinolytic therapy for intraventricular hemorrhage in adults[J]. Coehrane Database Syst Rev,2002, 23(3):336 339.
  • 9Pang D, Sclabassi RJ, Horton JA. Lysis of intraventricular blood clot with urokinase in a canine model:part 1. Canine in- traventricular blood cast model[J]. Neurosurgery, 1986, 19 (4) =540 546.
  • 10Mayfrank L, Kissler J, Raoofi R, et al. Ventricular dilatation in experimental intraventricular hemorrhage in pigs. Characterization of cerebrospinal fluid dynamics and the effects of fibrinolytic treat ment[J]. Stroke, 1997,28 (1) : 141-148.

二级参考文献32

  • 1万金中,蔡岳.超早期溶栓治疗自发性脑室内积血[J].浙江临床医学,2005,7(6):585-586. 被引量:14
  • 2宋伦贤,张祖权.脑室外引流并灌注尿激酶治疗高血压脑出血引起的脑室内积血[J].第三军医大学学报,2006,28(12):1360-1360. 被引量:6
  • 3Rohde V,Schaller C,Hassler WE.Intraventricular recombinant tissue plasminogen activator for lysis of intraventricular haemorrhage.J Neurol Neurosurg Psychiatry,1995,58 (4):447-451.
  • 4Nieuwkamp DJ,de Gans K,Rinkel GJ,et al.Treatment and outcome of severe intraventricular extension in patients with subarachnoid or intracerebral hemorrhage:a systematic review of the literature.J Neurol,2000,247(2):117-121.
  • 5Mizuno T,Hamada J,Kai Y,et al.Intrathecal urokinase infusion through a microcatheter into the cisterna magna to prevent cerebral vasospasm:experimental study in dogs.AJNR Am J Neuroradiol,2003,24(4):613-618.
  • 6Brott T, Thalinger K, Hertzberg V. Hypertension as a risk factor for spontaneous intracerebral hemorrhage. Stroke, 1986, 17:1078-1083.
  • 7Darby DG, Donnan GA, Saling MA, et al. Primary intraventri- cular hemorrhage: clinical and neuropsychological findings in a prospective stroke series. Neurology, 1988,38:68-75.
  • 8Ojemann RG, Heros RC. Spontaneous brain hemorrhage. Stro- ke, 1983,14:468-475.
  • 9Findlay JM, Weir BK, Stollery DE. Lysis of intraventricular hem-atoma with tissue plasminogen activator. Case report. J Neurosurg, 1991,74 : 803-807.
  • 10Graeb DA, Robertson WD, Lapointe JS, et al. Computed tomo- graphic diagnosis of intraventricular hemorrhage. Etiology and prognosis. Radiology, 1982,143:91-96.

共引文献11

同被引文献32

  • 1薛志伟,周建安.脑室外引流联合腰大池置管引流治疗脑室出血36例分析[J].医药前沿,2011,1(20):37.
  • 2Longatti PL,Martinuzzi A,Fiorindi A,et al. Neuroendoscopic management of intraventricular hemorrhage [J]. Stroke,2004,35 (2) :e35-38.
  • 3Antoniuk 5,da Silva RV. Feriventricular and intraventncular hemorrhage in the premature infants [J]. Rev Neural,2000,31 (3) :238-243.
  • 4Mayfrank L,Kissler J,Raoofi R,et al. Ventricular dilatation in experimental intraventricular hemorrhage in pigs. Characterization of cerebrospinal fluid dynamics and the effects of fibrinolytic treatment[J]. Stroke, 1997,28( 1 ) : 141-148.
  • 5Longatti PL,Martinuzzi A,Fiorindi A,et al. Neuroendoscopic management of intraventricular hemorrhage [J]. Stroke,2004,35 (2) :e35-38.
  • 6Antoniuk S,da Silva RV. Periventricular and intraventricular hemorrhage in the premature infants [J]. Rev Neurol, 2000, 31 (3) :238-243.
  • 7Mayfrank L,Kissler J,Raoofi R,et al. Ventricular dilatation in experimental intraventricular hemorrhage in pigs. Characterization of cerebrospinal fluid dynamics and the effects of fibrinolytic treatment[J]. Stroke, 1997,28( 1 ) : 141-148.
  • 8曹海泉,何永生,黄光富.导管相关性脑室炎的诊断及治疗研究进展[J].中华神经医学杂志,2007,6(12):1293-1296. 被引量:11
  • 9Gaberel T, Magheru C,Parienti JJ,et al. Intraventricular fibri-nolysis versus external ventricular drainage alone in intravent-ricular hemorrhage:a Meta-Analysis[J]. Stroke,2011,42 (10):2 776*2 781.
  • 10Hanley DF. Intraventricular hemorrhage: severity factor andtreatment target in spontaneous intracerebral hemorrhage[J].Stroke,2009,40(4):1 533-1 538.

引证文献6

二级引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部