双侧侧脑室引流脑脊液置换治疗重型脑室出血(附12例报告)

目的 探讨重型铸型性脑室出血的有效治疗方法。方法 采用双侧侧脑室穿刺,置管外引流,脑脊液置换,尿激酶灌注的方法治疗重型脑室出血全脑室铸型12例。结果 本组12例患者,72 h头颅CT显示脑室积血大部分清除,7 d头颅CT显示9例基本清除,10 d头颅CT显示2例基本清除,12 d头颅CT显示1例血肿基本清除。12例患者,经治疗4周时,GOS评分：优良5例,轻残3例,重残2例,死亡2例。结论 该治疗方法是一种治疗重症脑室出血全脑室铸型的有效的方法,可提高脑室出血患者的生存质量和生存率。

A discussion of bilateral ventricle drainage and cerebrospinal fluid replacement in the treatment of severe cerebroventricular hemorrhage

Objective To discuss the treatment of severe cerebroventricular casting hemorrhage.Methods Twelve cases were treated with puncture in both cerebroventricles,drainage,replacement of cerebrospinal fluid and urokinase perfusion.Results CT examination showed all the 12 cases had most of the cerebroventricular hematocele cleared in 72 hours.Nine of them showed basic clearance in 7 days and 2 of them in 10 days.One case indicated fair removal of hematoma in 12 days.All the 12 cases, after 4 weeks' treatment,were evaluated by GOS.Of them 5 were fine,3 slightly disabled,2 severely disabled and 1 dead.Conclusion This therapy is recommended as effective in the treatment of severe cerebroventricular casting hemorrhage.It can well improve the sufferers' survival rate and living quality.