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目的 :探讨脑室内直接纤溶治疗对自发性脑室内出血的疗效、治疗机理、并发症和治疗措施的选择。方法 :对 42例自发性脑室内出血直接纤溶治疗的结果进行统计和分析 ,并用统计学方法对某些结果进行评估。结果 :康复 34例 ,死亡 8例 ,病死率为 19%。平均血块消溶时间为 7.2 d。统计学评估显示病人预后和脑实质内血肿量有关 ,而和脑室内积血程度无关。结论 :直接纤溶疗法是治疗自发性脑室内出血有效的方法。脑实质内血肿量大小对病人预后有较大的影响。
Objective: To investigate the efficacy of intraventricular fibrinolysis in patients with spontaneous intracerebral hemorrhage, the treatment mechanism, complications and treatment options. Methods: The results of direct fibrinolytic therapy of 42 patients with spontaneous intraventricular hemorrhage were statistically analyzed and analyzed, and some results were evaluated by statistical methods. Results: Rehabilitation in 34 cases, 8 deaths, the mortality rate was 19%. The average clot dissolving time was 7.2 days. Statistical assessment showed that the prognosis of patients with intraparenchymal hematoma, but not with the extent of intraventricular hemorrhage. Conclusion: Fibrinolytic therapy is an effective method for the treatment of spontaneous intraventricular hemorrhage. The amount of hematoma in the parenchyma has a greater impact on the prognosis of patients.