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目的提高对重度继发性脑室出血的治疗。方法回顾性总结使用脑室及原发出血灶双侧置管并进行尿激酶持续灌注治疗38例重度继发性脑室出血患者的效果。结果按临床疗效评定标准基本治愈12例,显著进步10例,进步6例,无效及恶化死亡10例,总有效率73.68%,治愈率31.57%,病死率26.32%。结论早期采用脑室及原发出血灶穿刺和尿激酶持续灌洗引流治疗重症继发性脑室出血是一种积极有效的方法。
Objective To improve the treatment of severe secondary ventricular hemorrhage. Methods We retrospectively reviewed the results of 38 patients with severe secondary ventricular hemorrhage who underwent bilateral catheterization of the ventricular and primary hematoma and continuous infusion of urokinase. Results According to the standard of clinical curative effect, 12 cases were basically cured, 10 cases were significantly improved, 6 cases were improved, 10 cases were ineffective and worsened. The total effective rate was 73.68%, the cure rate was 31.57% and the case fatality rate was 26.32%. Conclusion Early use of intraventricular and primary puncture of blood and urokinase sustained lavage and drainage for the treatment of severe secondary ventricular hemorrhage is a positive and effective method.