枕角、前角穿刺尿激酶灌注引流治疗自发性脑室出血的临床观察  

Comparative study of ventricular puncture via anterior or occipital horn in treatment of spontaneous ventricular hemorrhage

作　　者：周克城[1] 戴黎萌 林源泉 陈平[1] 李锋[1] 陈旭鸿[1] 黎映静 

机构地区：[1]广东省深圳市龙岗区横岗人民医院神经外科,518115 [2]广东省深圳市人民医院神经外科,518001 [3]广东省深圳市龙岗区中心医院神经外科,518116

出　　处：《中华神经医学杂志》2007年第4期398-400,共3页Chinese Journal of Neuromedicine

摘　　要：目的对枕角穿刺和前角穿刺加尿激酶灌注引流治疗自发性脑室出血的疗效进行对比。方法将自发性脑室出血病人49例随机分两组,治疗组24例在入院6h内行枕角穿刺尿激酶灌注引流术,对照组25例在入院6h内行前角穿刺尿激酶灌注引流术,其余基础治疗两组基本相同。结果治疗组脑室积血吸收较对照组快,治疗组死亡率较对照组低,其差异有显著性意义。结论枕角穿刺尿激酶灌注引流可以更加早期清除脑室出血,降低死亡率,其疗效优于前角穿刺尿激酶灌注引流术。Objective To contrast the therapeutic outcomes of spontaneous ventricular hemorrhage by ventricular puncture via anterior horn or occipital horn followed by urokinase infusion and drainage. Methods A total of 49 patients with spontaneous ventricular hemorrhage were divided into 2 groups at random. The experimental group was treated by ventriculopuncture of occipital horn in 6 h after admission, and the control group by ventriculopuncture of anterior horn in 6 h after admission. The other treatment was the same. Results The hematomas in lateral ventricles of the experimental group were absorbed remarkably faster than in control group. In addition, the death rate in the former was lower than the latter. The differences between the 2 groups were significant statistically. Conclusion The ventriculopuncture via occipital horn is better than the one via anterior horn for the advantages of faster hematoma removal and lower death rate and more desirable therapeutic efficacy in the treatment of spontaneous ventricular hemorrhage.

关 键 词：脑室出血 脑室穿刺 尿激酶 

分 类 号：R743.34[医药卫生—神经病学与精神病学]