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目的：探讨治疗全脑室出血的方法。方法：采用脑室持续体外引流配合腰穿脑脊液置换治疗32例全脑室出血，选择积血较多一侧例脑室锥颅穿刺置管引流，并间断注入尿激酶，每1～2日行腰穿置换脑脊液，引流期间严格控制感染。结果：本组引流后症状明显改善，28例复查CT显示积血于4～14日消失。除4例死亡外，28例随访复查CT示脑室系统正常，仅2例未能独立行走，余均恢复良好。结论：本方法可清除导水管以上及以下的积血，明显降低病死率和提高生存质量。
Objective: To explore the treatment of whole ventricular hemorrhage. Methods: Thirty-two patients with whole brain ventricular hemorrhage were treated with continuous intraventricular drainage combined with lumbar puncture and cerebrospinal fluid replacement. One side of the ventricle was selected for ventricular pyramidal puncture for catheter drainage and intermittent infusion of urokinase. Cerebrospinal fluid, strict control of infection during drainage. Results: The symptoms of this group were significantly improved after drainage, 28 cases of rechecked CT showed that the blood disappeared from 4 to 14 days. Except for 4 cases of death, 28 cases were followed up for CT examination showed normal ventricular system, only 2 cases failed to walk independently, I have recovered well. Conclusion: This method can clear the hemorrhage above and below the aqueduct, significantly reduce the mortality and improve the quality of life.