自发性脑室出血的直接纤溶治疗

STUDY ON FIBRINOLYSIN TREATMENT OF PRIMARY INTRAVEN TRICLE HEMORRHAGE

目的 :探讨脑室内直接纤溶治疗对自发性脑室内出血的疗效、治疗机理、并发症和治疗措施的选择。方法 :对 42例自发性脑室内出血直接纤溶治疗的结果进行统计和分析 ,并用统计学方法对某些结果进行评估。结果 :康复 34例 ,死亡 8例 ,病死率为 19%。平均血块消溶时间为 7.2 d。统计学评估显示病人预后和脑实质内血肿量有关 ,而和脑室内积血程度无关。结论 :直接纤溶疗法是治疗自发性脑室内出血有效的方法。脑实质内血肿量大小对病人预后有较大的影响。

Objective:This study aims to analyse and update the experinece of fibrinolysin treatment in the cases of primary Intraventricle hemorrhage Methods:we reveiw the clinical data from the casees of primary introventricle hemorrhag who were treated in our neurosurgical ward from Aug 1994 to Mar 1999 Results:There are 42 patients in this group,36 of whom survivled and 8 died The mortality is 19 8% According the prognostic standard set at the national stroke conference held in 1988,we divided the patients into 5 groups:Grade 1 group:7 cases,Grade 2 group:13 casees,Grade 3 group: 10 cases,Grade 4 group:4 cases and Grade 5 group:8 cases The average time of hemotoma dissolved is 7 2 days Statistics show that there is a correlationship between the patient prognotics and the size of the intra hematoma but not the Graeb's score