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目的:探讨危重脑室出血的救治方法,以期降低危重脑室出血病人的死亡率。方法:早期采用双侧脑室交替或同时引流,灌注尿激酶并腰穿引流,及早期使用改善微循环药物等综合治疗措施。结果:本组救治25例危重脑室出血病人(Graeb评分>5分),存活率72%(18/25),死亡率28%(7/25)。结论:早期改善脑室梗阻及改善脑脊液循环与脑微循环是危重脑室出血病人救治成功与否的关键。双侧脑室引流,尿激酶灌注治疗重症脑室出血是一种安全、可行、有效的方法。
Objective: To explore the treatment of critical ventricular hemorrhage in order to reduce the mortality of patients with critical ventricular hemorrhage. Methods: The early use of alternating bilateral or bilateral ventricle drainage, infusion of urokinase and lumbar drainage, and early use of microcirculation drugs to improve the comprehensive treatment measures. Results: 25 patients with severe intraventricular hemorrhage (Graeb score> 5) were treated in this study. The survival rate was 72% (18/25) and the mortality rate was 28% (7/25). Conclusion: Early improvement of ventricular obstruction and improvement of cerebrospinal fluid circulation and cerebral microcirculation are the keys to successful treatment of patients with critical ventricular hemorrhage. Bilateral intraventricular drainage, urokinase infusion of severe intraventricular hemorrhage is a safe, feasible and effective method.