对105例自发性脑室出血分别行脑室外引流和脑室外引流加脑室内灌注尿激酶治疗。脑室外引流治疗56例,死亡21例(37.5％),脑室外引流加脑室内灌注尿激酶治疗49例,死亡7例(14.29％)。后组治疗可以早期清除脑室内积血,打通脑脊液循环通路,间接引流脑实质内血肿,减轻血肿对周围脑组织压迫,降低颅内压,降低病死率,减少致残率,疗效优于脑室外引流组。 105 cases of spontaneous intraventricular hemorrhage were intraventricular dilatation and ventricular extravasation and ventricular perfusion urokinase therapy. Fifty-six patients died of cerebral venous drainage, including 21 cases (37.5%) died of cerebral ventricular drainage, 49 cases were treated by ventricular drainage and venous infusion of urokinase, and 7 died (14.29%). The latter group of early treatment of ventricular hemorrhage can be cleared, open up the cerebrospinal fluid circulation pathway, indirect drainage of intracerebral hematoma, reduce hematoma around the brain tissue oppression, reduce intracranial pressure, reduce mortality and reduce disability, the effect is superior to intraventricular Drainage group.