丘脑出血破入脑室52例临床分析

Clinical analysis of 52 patients with thalamic hemorrhage broking into ventricles

目的探讨丘脑出血破入脑室的治疗方法及效果。方法 52例患者根据临床表现及CT特点,分别采用单侧、双侧脑室额角穿刺脑室外引流和开颅血肿清除+去骨瓣减压+一侧脑室外引流,术后第2天根据CT复查情况决定是否应用尿激酶。结果恢复良好32例,恢复一般13例,重残4例,死亡3例。结论丘脑出血破入脑室患者病情较重,及时采取手术,降低颅内压,脑室内灌注尿激酶治疗,积极防治各种并发症,可取得较好的治疗效果。

Objective To investigate therapeutic strategies on thalamic hemorrhage broking into ventricles.Methods 52 patients with thalamic hemorrhage broking into ventricles were given epi-or bi-lateral ventricular drainage or craniotomy hematoma clearance with decompressive craniectomy according to clinical symptoms and cranial CT changes.Two days after operation,urokinase was injected according to reviewing CT result.Results Aftur treatment,32cases had good recovery and 13cases had basical recovery,while 4cases had severe disability and 3cases died.Conclusion patients with thalamic hemorrhage broking into the ventricle are severe illness which need to be timely taken surgery to reduce intracranial pressure,and intraventricular infusion of urokinase therapy can prevent a variety of complications to achieve a better therapeutic effect.