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尿激酶灌注引流治疗高血压脑出血破入脑室患者的观察与护理
引用本文:郑建仙,黄巍.尿激酶灌注引流治疗高血压脑出血破入脑室患者的观察与护理[J].中国实用护理杂志,2008,24(24):31-33.
作者姓名:郑建仙  黄巍
作者单位:解放军第一七五医院神经外科,漳州,363000
摘    要:目的 探讨经尿激酶灌注引流治疗高血压脑出血破入脑室的术后临床效果和护理方法.方法 对35例高血压脑出血破人脑室患者术后行尿激酶灌注引流治疗,对临床效果进行观察,总结护理要点.结果 35例患者恢复良好20例,轻残13例,重残2例,无死亡病例.术后主要并发症为继发出血、感染、功能障碍.结论 早期行侧脑室钻孔引流术,术后行尿激酶灌注引流脑室积血,积极防治并发症,进行康复指导训练,可降低死亡率,提高患者术后生存质量.

关 键 词:高血压脑出血  脑室内出血  侧脑室灌注引流  尿激酶  护理

Observation and nursing of urokinase perfusion and drainage in the treatment of patients with hypertension cerebral hemoorrhage broken into ventricles
ZHENG Jian-xian,HUANG Wei.Observation and nursing of urokinase perfusion and drainage in the treatment of patients with hypertension cerebral hemoorrhage broken into ventricles[J].Chinese Journal of Practical Nursing,2008,24(24):31-33.
Authors:ZHENG Jian-xian  HUANG Wei
Abstract:Objective To explore the clinical effectiveness of urokinase perfusion and drainage in patients with hypertension cerebral hemorrhage broken into ventricles.Methods Patients with hypertension cerebral hemorrhage broken into ventricles(35 cases)underwent urokinase perfusion and drainage.Clinical effect was observed and the nursing point was summarized.Results Of the 35 patients,20 cases acquired good recovery,13 cases were mildly disabled,2 case were severely disabled,no death occurred.The complications mostly consisted of secondary hemorrhage,infection,disfunction.Conclusions The early lateral ventricle drilling operation,postoperative urokinase perfusion and drainage,active complications prophylaxis and treatment,rehabilitation training can reduce mortality and improve the quality of patients' life.
Keywords:Hypertensive intracerebral hemorrhage  Intraventricular hemorrhage  Lateral ventricular perfusion and drainage  Urokinase  Nursing
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