双侧交替低位侧脑室外引流加尿激酶灌注治疗自发性全脑室出血的应用研究  

Application of low lateral drainage of bilateral alternating and urokinaseinstiilation in treatment of spontaneous intraventricular hemorrhage

作　　者：黄跃清 叶少波 王芳 钱卫添 肖伟利 

机构地区：[1]佛山市三水区人民医院ICU,广东省佛山528100 [2]佛山市三水区人民医院神经外科,广东省佛山528100

出　　处：《中国基层医药》2011年第6期725-726,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：广东省佛山市医学类科技攻关项目（200808164）

摘　　要：目的探讨复合治疗方法对自发性全脑室出血的应用价值。方法对26例自发性全脑室出血的患者进行双侧交替低位侧脑室外引流加尿激酶灌注治疗，并辅以腰椎穿刺脑脊液置换。结果总有效率达84．62％，病死率为15．38％。结论双侧交替低位侧脑室外引流加尿激酶灌注，并辅以腰椎穿刺脑脊液置换是治疗自发性全脑室出血的的有效手段。可降低全脑室出血患者的病死率，并提高患者的预后。Objective To evaluate the clinical value of combined treatment for spontaneous intraventricular hemorrhage. Methods 26 patients with spontaneous intraventricular hemorrhage were conducted on the whole turn of low lateral drainage of bilateral urokinase infusion therapy, supplemented by lumbar puncture cerebrospinal fluid re- placement. Results The total effective rate was 84.62% ,mortality rate was 15.38%. Conclusion Bilateral lateral drainage of alternating low urokinase infusion, supplemented by lumbar puncture cerebrospinal fluid replacement was effective in treatment of spontaneous intraventricular hemorrhage. It could reduce mortality in patients with intraventricular hemorrhage and increase the patients＇ prognosis.

关 键 词：脑出血 引流术 尿激酶 脑脊液置换 

分 类 号：R651[医药卫生—外科学]