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niao ji mei guan xi fu zhu chuan ci yin liu shu zai lu nei chu xue zhong de ying yong
Author(s): 
Pages: 81-83
Year: Issue:  z2
Journal: CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE

Keyword:  尿激酶颅内出血脑室穿刺引流脑室铸型;
Abstract: 目的 探讨尿激酶灌洗辅助血肿、脑室穿刺外引流术治疗部分颅内出血病例的可行性及价值.方法 回顾性分析我院2000~2006年治疗的颅内出血57例,其中硬膜外血肿6例,单纯脑实质内血肿4例,单纯脑室内出血5例,脑实质内血肿破溃入脑室42例,行血肿或脑室穿刺外引流术后、尿激酶灌洗治疗,及时复查头颅CT,积极处理原发病等.比较治疗前后的效果.结果 缓解/好转35例、治愈13例;血肿消失时间为2~7 d,平均5 d;GCS评分提高2~10分,平均7分.死亡9例,均为脑室铸型患者.合并脑室积气26例,穿刺路径继发出血3例,反应性脑室炎7例,后期出现硬膜下积液7例,无颅内感染、继发脑积水、癫痫等并发症.结论 经血肿或脑室穿刺外引流术后,行尿激酶灌洗治疗对于部分颅内出血病例是一种安全、有效的治疗方法.
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