继发性脑室出血的治疗

目的 为降低继发性脑室出血（Ｓｅｃｏｎｄａｒｙ Ｉｎｔｒａｖｅｎｔｒｉｃｕｌａｒ ｈｅｍｏｒｒｈａｇｅ，ＳＩＨ）病人的死亡率，提高其生存质量。方法 针对２９例ＳＩＨ病人头颅ＣＴ的不同表现，有针对性地采用开颅超早基血肿清除术加脑室尿激酶反复冲洗持续外引流术，或单纯脑室尿激酶反复冲洗持续外引流术进行治疗。结果 存活１９人，死亡１０人，死亡率为３４．４８％。存活病人三个月随访结果为：良好６人、中残８人、

Treatment of Secondary Intraventricular Hemorrhage

objective To reduce the mortality rate and improve quality of life in patients with secondary intraventricular hemorrhage(SIH).Methods Twenty-nine patients with SlH were treated either by ultra-early clearance of hematoma,combined with repeated urokinase intraventricular irrigation and continuous drainage or simply by urokinase irrigation and drainage without surgical evacuation lf the hematoma.Results 19 patients survived,10 patients died.Mortality rate was 34.48%.All the survivors were followed up for 3 months.6 patients showed good recovery;8 moderately disabled;3 severely disabied;and 2 was vegetatively living.Conclusion once the diagnosis established,all patients with SIH should be treated by early evacuation of hematoma plus repeated ventricular irrigation and continuous drainage.