尿激酶引流术治疗脑室内出血

Theapy of intraventricular hemorrhange with urokinase drainage

目的:探讨脑室内出血行尿激酶置管持续外引流术的治疗方法。方法:经侧脑室额角钻孔置管持续外引流,尿激酶于手术后6小时～24小时,注入脑室血肿腔内8000U～10000U/5ml溶液,连续外引流7～14天,拔管后反复做腰穿,放出血性脑脊液。结果:治愈31例,生活部分自理9例,生活不能自理21例,死亡8例,占16％。结论:颅骨钻孔、脑室血肿腔内注入尿激酶置管持续外引流是治疗脑室内出血的有效方法。

Objective discuss the therapy method of the intraventricular hemorrhage with urokinase put tube persistent outside drainage. Methods drill and put tube spread by lateral ventricle frontal eminence, infuse 8000u-10000u/5ml solution of urokinase into ventricle haematoma intracavity postoperative six hours-24 huours , persistent outside drainage seven-fourteen days , thresh subarachnoid cavity centesis after tube drawing, discharge blood cerebrospinal fluid over. Results cure 31 cases , part self servicing 9 cases , be incapable of self servicing 2 cases,death 8 cases,occupy 16%.Conclusion it was cure intraventricular hemorrhage, available approach that cranial drill hole, infuse urokinase into ventricle haematoma intracavity and put tube persistent outside drainage.