不同方法脑室外引流治疗重度脑室出血的对比研究

目的 比较三种不同脑室引流方法治疗重度脑室出血的疗效.方法 对28例重度脑室出血患者采用单纯单侧侧脑室引流治疗,对24例重度脑室出血患者采用双侧侧脑室引流加1万U尿激酶侧脑室内注入治疗,另37例重度脑室出血患者采用双侧侧脑室引流加3万U尿激酶侧脑室内注入治疗.结果 双侧侧脑室引流加3万U尿激酶侧脑室内注入治疗组总有效率、死亡率、脑室出血清除时间、生活能力评分与双侧侧脑室引流加1万U尿激酶侧脑室内注入治疗组和单纯单侧侧脑室引流治疗组比较差异有显著性（P〈0.05）.结论 双侧侧脑室引流加3万U尿激酶侧脑室内注入治疗方法疗效好,适合于重度脑室出血患者的治疗.

Comparison between curative effects of different ventricular drainages on severe intraventricular hemorrhage

Objective To compare the curative effects of three kinds of ventricular drainages on severe intraventricular hemorrhage(SIH).Methods Of 89 patients SIH,28 were treated by unilateral ventricular drainage,24 were treated by bilateral ventricular drainage(BVD) and ventricle infusion of urokinase,and 37 were treated by BVD and ventricle infusion of urokinase.Results Compared with the other two groups,patients,who were treated by BVD and ventricle infusion of urokinase(30000U,TID),have significant better progrosis,lower mortality,less time of cleanring intraventvicular hemorrhage and higherrage and higher ADL scale.Conclusion BVD and ventricle infusion of urokinase(30000U,TID),which has shown good curative effect on SIH,is suitable for treating SIH.