目的 :探讨急性梗阻性脑室内出血的治疗方法 ,手术适应证和术后处理的要点。方法 :在强化及局麻下行侧脑前角穿刺 ,尿激酶灌注溶解血块外引流。结果 :本组 95例病人治愈 31例 (33% ) ,好转 37例 (39% ) ,死亡率 2 7例 (2 8% )。结论 :侧脑室前角穿刺外引流治疗急性梗阻性脑出血简单易行、组织创伤少 ,疗效好 ,便于推广应用。 Objective: To explore the treatment of acute obstructive intraventricular hemorrhage, surgical indications and postoperative management points. Methods: Under intensive and local anesthesia, lateral anterior horn puncture and urokinase perfusion were used to dissolve blood clots. Results: A total of 95 patients were cured in 31 cases (33%), improved in 37 cases (39%), and the mortality rate was 27 (28%). Conclusion: Extracerebral ventricular anterior drainage puncture for the treatment of acute obstructive intracerebral hemorrhage is simple, less tissue trauma, good curative effect, easy to promote the application.