CT 定位微创侧脑室穿刺置管加尿激酶溶解引流治疗脑室内出血70例临床分析  

Clinical study of 70 cases of ventricular hemorrhage with minimally invasive treatment of external ventricular drainage and injection of urokinase with CT stereotactic

作　　者：芦明[1] 宣宏飞[1] 陈新治[1] 董伟峰[1] 严肖锋[1] 顾水均[1] 

机构地区：[1]杭州市萧山区第一人民医院神经外科, 浙江省杭州311201

出　　处：《中国基层医药》2014年第16期2410-2411,I0002,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省杭州市科技局资助项目（20120533Q43）

摘　　要：目的：探讨脑室内出血的治疗方法。方法回顾性分析70例采用CT定位微创侧脑室穿刺置管加尿激酶溶解引流治疗脑室内出血患者的临床资料。结果70例患者中，存活67例（95．7％），其中Ⅰ～Ⅱ级37例（52．9％），Ⅲ级21例（30．0％），Ⅳ～Ⅴ级9例（12．9％）；死亡3例（4．3％）；无发生与引流有关的感染、出血等并发症。结论 CT定位微创侧脑室穿刺置管加尿激酶溶解引流治疗脑室内出血，可提高治愈率，降低病死率及并发症的发生率。Objective To explore the method of treatment on ventricular hemorrhage .Methods The clini-cal experience of 70 cases of ventricular hemorrhage with minimally invasive treatment of external ventricular drainage and injection of urokinase with CT stereotactic were summarized .Results Except for 3 cases of death ,67 cases sur-vived（95.7%）,Grade Ⅰ-Ⅱwas 37 cases（52.9%）,Grade Ⅲ was 21 cases（30.0%）,Grade Ⅳ-Ⅴ was 9 cases （12.9%）, and there was no complication of infection and bleeding associated with drainage among 70 cases. Conclusion The minimally invasive treatment of external ventricular drainage and injection of urokinase with CT ste -reotactic on ventricular hemorrhage improves the cure rate significantly ,reduces the mortality rate and the incidence of complications ,which has important clinical value .

关 键 词：脑出血 引流术 尿激酶 

分 类 号：R743.3[医药卫生—神经病学与精神病学]