出血性脑室铸型的疗效分析

目的 探讨出血性脑室铸型的治疗方法与疗效。方法 分析脑室外引流、尿激酶脑室内注入、气管切开、控制血压以及脑积水的处理等多种治疗手段在治疗脑室铸型过程中的作用及其效果。结果 经过综合治疗完全恢复日常生活者10例(28．6％)，部分恢复日常工作或独立进行家庭生活者13例(37．1％)，生活需要照顾或护理者7例(20％)，死亡5例(14．2％)。结论 对于出血性脑室铸型这类重症病人早期及时的脑室外引流是快速而有效的抢救措施，尿激酶脑室内注入对溶解血凝块，疏通脑室系统行之有效。气管切开对降低死亡率至关重要，控制血压是防止再出血的关键。脑积水的处理是康复过程中需要高度重视的环节。

Analysis on curative effect of hemorrhagic traventricular

Objective To explore the treatment and curative effectiveness of hemorrhagic traventricular.Methods Clinically,the effectiveness of extra-drainage of cerebral ventricle,injection of urokinase into cerebral ventricle,tracheotomy,regulation of blood pressure and treatment of hydrocephalus in the treatment of traventricular was analyzed.Result By general treatment 10 cases (28.6%) completely recovered their livelihood or 13 cases(37.1%)independence proceeds home life,7 cases(20%) partly recovered or needed to be looked after,and 5 cases(14.2%)died.Conclusion Early and prompt extra-drainage was a fast and effective method for patients with hemorrhagic traventricular.Injection of urokinase into cerebral ventricle was very effective to dissolve blood clotting and to clear out cerebral ventricle.Tracheotomy was important for decreasing mortality rate,regulation of blood pressure was the key treatment to prevent repeated bleeding,and the treatment of hydrocephalus during rehabilitation needed to be paid attention to.