微创治疗重度脑室出血(附36例报告)

Treat severe ventricular hemorrhage with minimal injury

目的:研究重度脑室出血的疗效。方法:对36例重度脑室出血患者通YL-1型血肿粉碎针进行双侧脑室额角置管外引流及尿激酶灌注冲洗引流和终池脑脊液置管引流治疗。结果:CT显示脑室内血肿消除时间4～5天21例,6～7天9例,9～10天4例,平均6天,基本治愈16例,显著进步11例,进步3例,植物生存3例,死亡3例。结论:微创治疗重度脑室出血安全、简便、有效。

Objective To study the effective treatment for severe ventricular hemorrhage. Methods 36 patients with severe ventricular hemorrhage were perfused uroKinase though YL-1 in bilateral ventricles to brain, and liquor cerebrospinalis was drainaged in terminal cistern. Results CT showed that 21 cases of the blood tumors of the ventricles was removed dur-ing4-5 days' treatment ,9 cases during 6-7days, 4eases during 9-10 days, the average duration was 6 days. 16 cases were cured, 11 cases improved greatly, 3 cases improved, 3 cases persistent vegetable state, 3 cases died. Conclusion It is a safe, effective method to rteat severe ventricular hemorrhage with minimal trauma