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目的探讨脑室出血的治疗方法,评估超早期侧脑室外引流辅以尿激酶灌洗和腰穿置管持续引流治疗重型脑室出血的效果。方法采用超早期侧脑室外引流辅以尿激酶灌洗和腰穿置管持续引流对21例重度脑室出血病例进行治疗,并与同期单纯行双侧脑室外引流辅以尿激酶21例比较。结果治疗组血性脑脊液澄清时间、第三、四脑室积血基本消失时间、格拉斯哥预后评分及术后6月日常生活能力均显著优于治疗组(P<0.05)。结论超早期侧脑室外引流辅以尿激酶灌洗和腰穿置管持续引流,能尽早清除第三、四脑室血肿,及早疏通脑脊液循环,快速廓清全脑室系统血肿,治疗脑室出血效果确切。
Objective To investigate the treatment of intraventricular hemorrhage and evaluate the effect of ultra-early lateral ventricle drainage supplemented with urokinase lavage and continuous drainage of lumbar canalization for severe intraventricular hemorrhage. Methods Twenty-one patients with severe intraventricular hemorrhage were treated with ultra-early lateral ventricle drainage combined with urokinase lavage and continuous drainage of lumbar canalization catheter. Compared with simple intravenous infusion of bilateral ventricle with urokinase in the same period, 21 cases were compared. Results The time of clarification of cerebrospinal fluid, the disappearance of ventricular hemorrhage in the third and fourth ventricle, the prognosis of Glasgow and the daily living ability in June after treatment were significantly better than those in the treatment group (P <0.05). Conclusion Ultra-early lateral ventricle drainage supplemented with urokinase lavage and continuous lumbar drainage tube drainage can clear the third and fourth ventricle hematoma as early as possible and promptly clear the cerebrospinal fluid circulation, and quickly clear the whole ventricular hematoma, the exact effect of intraventricular hemorrhage.