全脑室铸型出血是一种极为危重的急性脑血管疾病,预后差,传统内外科治疗死亡率高达75%～100%[1]。为探讨全脑室铸型出血的有效治疗方法及其手术时机,我们采用单侧侧脑室引流及尿激酶灌洗(简称单侧引流)和双侧侧脑室引流及尿激酶灌洗结合腰穿脑脊液置换(简称双侧引流+腰穿)2种方 Whole ventricular cast hemorrhage is a critically endangered acute cerebrovascular disease with a poor prognosis, with traditional endosurgical mortality rates as high as 75% to 100% [1]. In order to explore the effective treatment of whole ventricular casts bleeding and its timing of surgery, we use unilateral lateral ventricular drainage and urokinase lavage (referred to as unilateral drainage) and bilateral lateral ventricular drainage and urokinase lavage combined with lumbar puncture cerebrospinal fluid replacement (Referred to as bilateral drainage + waist wear) 2 kinds of square