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目的:探讨自发性脑出血脑室铸型的有效治疗方法。方法:对18例自发性脑室铸型患者进行双侧脑室引流,术后灌注尿激酶,并腰穿置换血性脑脊液或持续腰大池置管引流以及其它综合治疗措施。结果:按GCS评价预后,良好13例,中残3例,植物生存1例,死亡1例。结论:脑室穿刺引流术、脑室内尿激酶灌注引流、腰椎穿刺脑脊液置换结合其他综合治疗措施,是治疗脑室内出血,提高治愈率、改善预后的安全有效的方法。
Objective: To investigate the effective treatment of spontaneous intracerebral hemorrhage mold. Methods: Eighteen cases of spontaneous intraventricular cast patients underwent bilateral ventricular drainage, postoperative infusion of urokinase, lumbar puncture and replacement of cerebrospinal fluid or continuous lumbar cistern drainage and other comprehensive treatment measures. Results: According to the prognosis of GCS, there were 13 good cases, 3 cases of moderate residual disease, 1 case of plant survival and 1 case of death. Conclusion: Ventricular puncture and drainage, intraventricular infusion of urokinase and replacement of lumbar puncture and cerebrospinal fluid in combination with other comprehensive treatment measures are safe and effective in treating intraventricular hemorrhage, improving the cure rate and improving the prognosis.