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本文报告了我院自1995年8月至1996年12月间对27例高血压脑出血病人,根据CT片模拟定位血肿中心靶点,颅骨钻孔,置双导管血肿腔内.早期抽吸血肿的液体部分,解除颅内急性机械压迫,后期应用尿激酶(uk)溶解凝血块引流残余血肿。作者体会其优点是:(1)能经常冲洗导管,保持引流通畅;(2)能动态监测颅内压(ICP).指导使用脱水药物:(3)每日定时向血肿腔内注身尿激酶,能将血肿完全溶解排尽;(4)根据ICP变化,开放或关闭引流管,控制颅内液体的排放,能调控ICP在正常范围。本治疗方法操作简单.不需要立体定向系统,创伤小.疗效满意。
This article reports from our hospital from August 1995 to December 1996 27 cases of hypertensive intracerebral hemorrhage patients, according to the CT chip simulation of the target center of the hematoma, skull drilling, double-catheter hematoma cavity. Early suction of the hematoma liquid part of the lifting of intracranial acute mechanical compression, the latter application of urokinase (uk) to dissolve coagulation block drainage hematoma. The authors appreciate its advantages are: (1) can often flush the catheter to maintain smooth drainage; (2) can dynamically monitor intracranial pressure (ICP). Guide the use of dehydration drugs: (3) regularly injected into the hematoma intracavitary urokinase, the hematoma can be completely dissolved exhausted; (4) according to changes in ICP, open or close the drainage tube, control of intracranial fluid discharge, can regulate ICP in the normal range. The treatment is simple. Does not require stereotactic system, trauma. Satisfactory results.