双侧脑室引流治疗重度脑室出血36例分析

目的总结双侧脑室引流治疗重度脑室出血的疗效。方法对36例采用双侧脑室引流治疗的重度脑出血患者的临床资料进行回顾性分析。结果本组36例重度脑出血中，存活23例（69．4％）。死亡11例（30．6％）。23例存活患者中4例因脑积水行脑室-腹腔分流术。结论尽早解除脑室梗阻，改善脑脊液循环是重度脑室出血救治成功的关键。双侧脑室外引流治疗重度脑室出血是一种安全、有效的方法。

Clinical Analysis of Bilateral Ventrlcular Drainage In Severe Intraventricular Hemorrhage

Objective To summarize the curative effects of bilateral ventricular drainages on severe intraventricular hemorrhage(SIVH). Methods The clinical data of 36 patients with bilateral ventricular drainages on severe intraventricular hemorrhage. Results Of the 36 patients, 23, in whom only 5 cases suffered from delayed hydrocephalus and accepted a ventriculoperitoneal shunt operation, showed excellent or good outcome and 11 died. Conclusions It is the key to the success of SIVH to canal the intraventicular obstruction and improve the CSF flow and periventicular microcirculation. The combimed ventricular drainage with infusion of urokinase is a relatively safe method of treating SIVH and can greatly improve its prognosis.