侧脑室引流及脑脊液置换治疗全脑室出血

目的 探讨治疗全脑室出血的方法。方法 采用侧脑室持续体外引流配合腰穿脑脊液置换治疗46例全脑室出血，选择积血较多一侧侧脑室锥颅穿刺置管引流，并间断注入尿激酶，每天行腰穿置换脑脊液。结果 治疗后症状明显改善，41例复查CT显示积血于4～15d消失，除5例死亡外，余均恢复良好。结论 本方法可清除导水管以上及以下的积血，明显降低病死率和提高患者生存质量。

Analysis that treatment of all ventricular haemorrhage by extrinsic drainage through ventricle combining with substitution of CSF

Objective To investigate the method for the treatment of haemorrhage of all ventricles. Methods 46 cases were treated by continuous extrinsic drainage through puncture of the lateral ventricle which accumulated more blood combming with substitution of CSF by meams of lumbus puncture per day. Urokinase was injected into ventricle at regular intervals. Results The symptoms were improved. Head CT were reexamined in 41 cases, which showed disappearance of hematocele in ventricle within 4- 15 days. Except for 5 cases of death, other cases recovered from the disease. Conclusion The hematocele above and below the duct in ventricle can be eliminated by this method,and the mortality rate can reduced greatly and the quality of survival can improved.