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微创抽吸粉碎结合脑室穿刺对冲引流在脑内血肿脑室铸型中的临床应用
引用本文:赵铁鹏,文建平,张少宏,罗成方. 微创抽吸粉碎结合脑室穿刺对冲引流在脑内血肿脑室铸型中的临床应用[J]. 右江医学, 2002, 30(5): 373-374
作者姓名:赵铁鹏  文建平  张少宏  罗成方
作者单位:湖南省怀化市第二人民医院神经外科,418400
摘    要:目的 :探讨脑室铸型脑内血肿的有效治疗方法。方法 :对 15例脑内血肿并破入脑室造成脑室铸型的患者 ,行微创血肿抽吸粉碎结合脑室穿刺 ,生理盐水加尿激酶对冲引流的疗效观察 ,并与 2 1例行微创开颅加脑室穿刺的疗效比较。结果 :观察组存活率为 93.33% ,对照组 5 7.14 % ,两组比较有显著性差异 (P <0 .0 5 )。结论 :微创血肿抽吸粉碎结合脑室穿刺 ,生理盐水加尿激酶对冲引流治疗脑室铸型血肿是一种并发症少、安全有效的治疗方法。

关 键 词:脑内血肿脑室铸型  微创抽吸  脑室穿刺  尿激酶  对冲引流
文章编号:1003-1383(2002)05-0373-02
修稿时间:2002-07-30

Microtraumatic drainage and aspiration combined with intraventricular puncture in the treatment of intraventricular hemorrhage
Zhao Tiepeng,Wen Jianping,Zhang Shaohong,Luo Chengfang. Microtraumatic drainage and aspiration combined with intraventricular puncture in the treatment of intraventricular hemorrhage[J]. Youjiang Medical Journal, 2002, 30(5): 373-374
Authors:Zhao Tiepeng  Wen Jianping  Zhang Shaohong  Luo Chengfang
Affiliation:Zhao Tiepeng,Wen Jianping,Zhang Shaohong,Luo Chengfang,Department of Neurosurgery,Second People's Hospital of Huaihua,Huaihua 418400
Abstract:Objective:To evaluate the effective treatment of intraventricular hemorrhage.Method:15 cases of intraventricular hemorrhage received the treatment of microtraumatic drainage and aspiration combined with intraventicular puncture,dissolution with physiological saline and urokinase,the curative effects were compared with 21 cases that received microtraumatic craniotomy and intraventricular puncture.Result:The survival rate was 93.33% in treatment group and 57.14% in control group,there were significant differences between two groups (P<0.05).Conclusion:It indicates that it is safe and effective in the treatment of intraventricular hemorrhage.
Keywords:intraventricular hemorrhage  microtraumatic drainage and aspiration  intraventricular puncture  urokinase  aspiration
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