超早期脑室穿刺引流术治疗重型脑室出血

目的 探讨重型脑室出血的治疗方法。方法 11例重型脑室出血患者，原发性脑室系统出血7例，继发性脑室系统出血4例，脑实质损伤轻微。在超早期行脑室穿刺引流加脑室内注射尿激酶溶栓治疗。结果 经治疗后11例患者预后良好8例，中残1例，死亡2例，无植物生存状态，并发脑积水3例，行脑室腹腔分流术后好转。结论 在超早期行脑室穿刺引流加脑室内注射尿激酶溶栓可以解除或缓解四脑室血肿对脑干的压迫作用，降低四脑室内压力，提高治疗效果。

Ventricular puncture and drainages treating intraventricular severe hemorrhage in super-early period

Objective To explore the treatment of the intraventricular severe hemorrhage. Methods 11 intraventricular hemorrhages,including 7 primary intraventricular hemorrhages and 4 secondary intraventricular hemorrhages with light injury in their brains, were treated with ventricular puncture and drainages and urokinase intraventricular injections in super-early period. Results 8 cases recovered well,1 case was moderate disable and 2 cases died. Conclusion Ventricular puncture and drainages and urokinase intraventricular injections in super-early period may decrease the pressure in the fourth ventricle earlier and improve the clinical effects.