文章报告钻孔引流尿激酶注射治疗高血压性脑出血 6 1例 ,方法是在CT引导下行钻孔置管引流 ,同时用尿激酶 40 0 0U加入 3ml生理盐水注入血肿腔 ,以水解纤维蛋白 ,溶解凝血块 ,改善脑血液循环而达到治疗目的 ;结果术后恢复优良率达 6 7.2 % ,手术致残率为 2 3.0 % ,病死率为 9.8%。认为疗效高低与GCS评分指数高低 ,血肿量的大小 ,血肿破入脑室与否及手术时机的选择有关。 Article report drilling drainage urokinase in the treatment of hypertensive intracerebral hemorrhage in 61 cases, the method is guided by CT guided drainage catheter drainage, while using urokinase 40 0 ​​0U added 3ml saline injected into the hematoma cavity to hydrolyze fibrin, The clot was dissolved and the cerebral blood circulation was improved. The results showed that the postoperative recovery rate was 62.2%, the morbidity rate was 3.03% and the case fatality rate was 9.8%. That the level of efficacy and GCS score index level, the size of the hematoma, ventricular rupture or hematoma and the choice of timing of surgery.