继发性脑室出血的治疗  

Treatment of Secondary Intraventricular Hemorrhage

作　　者：谢国海 张剑平 赵玉祥 

机构地区：[1]浙江省鄞县人民医院,315040

出　　处：《浙江临床医学》2000年第3期162-164,共3页Zhejiang Clinical Medical Journal

摘　　要：目的 为降低继发性脑室出血(SecondaryIntraventricularhemorrhage,SIH)病人的死亡率 ,提高其生存质量。方法 针对29例SIH病人头颅CT的不同表现 ,有针对性地采用开颅超早期血肿清除术加脑室尿激酶反复冲洗持续外引流术 ,或单纯脑室尿激酶反复冲洗持续外引流术进行治疗。结果 存活19人 ,死亡10人 ,死亡率为34.48%。存活病人三个月随访结果为 :良好6人、中残8人、重残3人、植物性生存2人。 结论 对SIH病人 ,一经明确诊断 ,应根据不同头颅CT表现 ,尽早采取针对性的治疗措施 ,可使死亡率有较大的下降 ,提高术后病人的生存质量。objective To reduce the mortality rate and improve quality of life in patients with secondary intraventricular hemorrhage(SIH).Methods Twenty-nine patients with SlH were treated either by ultra-early clearance of hematoma,combined with repeated urokinase intraventricular irrigation and continuous drainage or simply by urokinase irrigation and drainage without surgical evacuation lf the hematoma.Results 19 patients survived,10 patients died.Mortality rate was 34.48%.All the survivors were followed up for 3 months.6 patients showed good recovery;8 moderately disabled;3 severely disabied;and 2 was vegetatively living.Conclusion once the diagnosis established,all patients with SIH should be treated by early evacuation of hematoma plus repeated ventricular irrigation and continuous drainage.

关 键 词：继发性脑室出血 治疗 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]