重型继发性脑室出血的手术治疗

目的:讨论重型继发性脑室出血手术处理的方法及效果。方法:对25例患者在尽早时间内行双侧侧脑室外引流,20例(除5例丘脑出血外)同时施以小骨窗入颅血肿清除引流,手术早期在脑室内、脑血肿内注入大剂量尿激酶(20万U),术后每6h由3管各注入尿激酶2万U。结果:死亡率24％。结论:按早期手术抢救原则,以上述方法手术,尽早在术中及术后早期应用大剂量尿激酶,可明显降低死亡率。

The Surgical Treatment on Severe-Type Secondary Introventricular Hemorrhage

Objective :To report the methods and the effect of surgical treatemt on severe-type secondary introven-tricular hemorrhage. Methods :25cases were treated with bilateral ventriculostomy with catheters sa early as possible. Simultaneously, 20cases( except for 5 cases of thalamus hemorrhage)were treated with operative evacuation and drainage of hematoma via a little bone window, applying 20 × 104 unit urokinase to the ventricule homatoma and the brain hematoma at early stage of the procedure. After operation, 2×104 unit urokinase was injected through each 3 tubes every six hours. Result : The mortality is 24% . Conclusion : According to the principle of early operation for the emergency and abovementioned methods of procedure, the mortality could markedly decrease, meanwhile applying high dost urokinase as early as possible in the vourse of and after operation.