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本文通过离体的血凝块，进行实验研究。观察尿激醉药物的纤溶效果、溶解时间及最低有效浓度为治疗超早期高血压丘脑出血提供科学依据。采用CT引导立体定向手术治疗超早期高血压丘脑出血50例。血肿20ml以下2例，20～40ml20例，40～60ml24例，60ml以上4例。6例血肿呈液状一次除净，44例呈凝血块均行碎化抽吸清除。清除具＞70％24例，50～70％20例，30例加用尿激酶引流治疗。手术死亡率6％。48％例术后随访3～74个月生活能力（ADL）。ADL1：12（25．5％），ADL2：23例（48％）。
In this paper, through the ex vivo blood clots, experimental study. To observe the effect of fibrinolytic effect, dissolution time and the lowest effective concentration of urinary drugs on the treatment of ultra-early hypertensive thalamic hemorrhage provide a scientific basis. Fifty cases of ultra - early hypertensive thalamic hemorrhage treated with CT guided stereotactic surgery. Hematoma 20ml following 2 cases, 20 ~ 40ml20 cases, 40 ~ 60ml24 cases, 60ml above 4 cases. Six cases of hematoma were liquid in addition to a net, 44 cases were coagulation clotting removal clearance. Clearance with> 70% 24 cases, 50 ~ 70% 20 cases, 30 cases plus urokinase drainage treatment. Surgical mortality rate 6%. 48% of patients were followed up for 3 to 74 months of life (ADL). ADL1: 12 (25.5%), ADL2: 23 cases (48%).