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目的 探讨钻孔引流与脑室穿刺对高血压丘脑出血治疗的临床效果。方法 通过对68例病人应用钻孔引流尿激酶溶解血肿与脑室穿刺的方法进行治疗,观察疗效及并发症的发生率,对术后3个月随访结果进行了评价。结果 本组病人术前随脑出血意识状况分级增大,其治疗效果不同,级别越高预后越差。本组死亡8例,占11.7％。术后并发症较少。结论 钻孔引流和脑室穿刺是治疗高血压丘脑出血的有效方法。
Objective To investigate the clinical effect of drilling drainage and ventricle puncture on hypertensive thalamic hemorrhage. Methods Sixty-eight patients underwent drainage with urokinase-induced hematoma and ventricular puncture. The curative effect and the incidence of complications were observed. The follow-up results at 3 months after operation were evaluated. Results This group of patients with preoperative awareness of cerebral hemorrhage grading increased, the treatment effect is different, the higher the level the worse the prognosis. The group died in 8 cases, accounting for 11.7%. Postoperative complications less. Conclusion Drilling drainage and ventricular puncture are effective methods for the treatment of hypothalamic hemorrhage.