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目的治疗脑室内血肿液化疗法的治疗效果。方法对8例脑室内出血采用脑室内引流,尿激酶液化。常规脑室额角穿刺,脑室内注入3万U尿激酶溶于3～5ml生理盐水中,灌注后夹闭2～4h后开放,复查CT观察血肿引流情况决定是否拔管,一般放置3～7d,如脑室引流液逐渐变淡,闭管24h后无症状拔管。结果8例中治愈6例,好转1例,死亡1例,治疗有效率87.5%,病死率12.5%,无再出血,颅内感染情况发生。结论我们认为脑室内出血,液化引流使脑脊液循环梗阻得以缓解,具有损伤小,清除出血彻底,并发症少,恢复快的优势。
Objective To treat the therapeutic effect of intraventricular hematoma liquefaction therapy. Methods 8 cases of intraventricular hemorrhage using intraventricular drainage, urokinase liquefaction. Conventional ventricle forehead puncture, intraventricular injection of 30,000 U urokinase dissolved in 3 ~ 5ml saline, perfusion closed 2 ~ 4h after the open, review the CT hematoma drainage to determine whether the extubation, the general place 3 ~ 7d, such as Ventricular drainage fluid gradually fades, closed asymptomatic extubation after 24h. Results Of the 8 cases, 6 cases were cured, 1 case improved and 1 case died. The effective rate was 87.5% and the case fatality rate was 12.5%. No further bleeding and intracranial infection occurred. Conclusion We believe that intraventricular hemorrhage, liquefied drainage to ease the circulation of cerebrospinal fluid obstruction, with less damage, complete removal of bleeding, fewer complications, faster recovery.