原发性脑室出血手术治疗

The Operative Treatment for Intraventricular Hemorrhage (PIVH)

目的 :提出有效手术治疗原发性脑室出血的方法。方法 :对 7例原发性脑室出血的临床资料进行回顾性分析研究。所有病例都采用侧脑室穿刺 +重组链激酶血肿纤溶引流术。结果 :6例恢复良好 (84% ) ,1例死于多器官衰竭(14 % )。引流管放置在血肿侧容易堵塞 ,放置在非血肿侧效果较好。结论 :侧脑室穿刺

Purpose:To supply an effective treatment for primary intraventricular hemorrhage ( PIVH ) by operation. Methods:The data of 7 patients with PIVH were retrospectively analyzed. The techniques of puncture and lysis of clot using recombinant streptokinase (r SK) were used in all patients. Results:6 patients had good results(84%) and 1 patient died of mutiorgan failure (MOF) (14%)。The drainage at the lateral ventricule fulling with clot could be fail because of occlusion of the drainage tube,and at the contralateral ventricule without clot was optimal. Conclusion:Puncture and lysis of clot using r SK are effective method for PIVH.