探讨急性高血压性丘脑出血、脑室铸型的综合救治方法  

To Explore the Comprehensive Treatment of the Acute Hypertensive Thalamic Hemorrhage, Intraventricular Cast

作　　者：王双豹 

机构地区：[1]河北省邢台市第三医院神经外一科,邢台054000

出　　处：《中国医药导刊》2013年第1期4-5,共2页Chinese Journal of Medicinal Guide

基　　金：河北省自然科学基金(C2010000917)

摘　　要：目的:探讨急性高血压性丘脑出血、脑室铸型病例的综合救治方法。方法:对我院2010年1月至2012年7月46例血肿量在10-30ml之间的高血压性丘脑出血、脑室铸型的患者综合运用侧脑室穿刺、64排CT引导立体定向血肿穿刺置管外引流、腰大池置管外引流术,侧脑室及血肿腔注入尿激酶进行救治。结果:46例中存活40例,21例生活可以自理,15例基本自理,4例卧床不能自理,死亡6人。结论:侧脑室穿刺,64排CT引导立体定向血肿排空术,腰大池置管外引流术、侧脑室及血肿腔注入尿激酶的综合运用是治疗高血压性丘脑出血、脑室铸型的有效方法。Objective：To investigate the comprehensive treatment of the acute hypertensive thalamic hemorrhage,intraventricular cast cases.Methods：The hospital from 2010 to 2012 patients with 46 cases of hematoma volume between（10~30）ml of hypertensive thalamic hemorrhage,intraventricular cast the use of the lateral ventricle puncture,a 64-slice CT-guided stereotactic hematoma puncture external drainage catheter,lumbar catheter outside the drainage of the lateral ventricle,and the hematoma cavity injection of urokinase for treatment.Results：Of the 46 cases survived for 40 cases,21 cases of life can take care of themselves,15 cases of basic self-care,four cases of bed rest can not take care of themselves,and 6 deaths.Conclusion：The lateral ventricle puncture,a 64-slice CT to guide stereotactic hematoma emptying surgery,lumbar catheter drainage of the lateral ventricle and the hematoma cavity injection of urokinase integrated use of effective methods for the treatment of hypertensive thalamic hemorrhage,intraventricular cast.

关 键 词：急性高血压性丘脑出血 脑室铸型病例 尿激酶 综合救治方法 

分 类 号：R651.1[医药卫生—外科学]