摘要
目的探讨高血压颅内血肿破入侧脑室的治疗方法.方法对38例高血压颅内血肿破入侧脑室患者,通过头部CT定位后,采用YL-1型穿刺针穿刺血肿尿激酶碎吸术,同时辅以单侧或双侧脑室外引流术,脑室内注入尿激酶溶血治疗.结果神经康复分级:Ⅰ级3例,Ⅱ级2例,Ⅲ级7例,Ⅳ～V级26例.结论该方法是一种治疗效果较好、操作简单、费用低、安全有效的方法.
Objective To discuss the treatment methods of hypertensive intracerebral hemorrhage (HICH) with rupture into lateral ventricle. Methods After the CT localization of the hematomas of 38 HICH cases, the puncture with the YL-1 disposable needle was adopted in favor of urokinase infusion into ventricles to dissolvethe hematoma and external drainage through unilateral and bilateral ventricles. Results In the 38 cases, only 3 died; 2 fell in complete paralysis and 7 in hemiparalysis with muscle strength Ⅱ~Ⅳ; the rest recovered well. The nerve recovery grade Ⅰ was achieved in 7.89%, grade Ⅱin 5.26%, Ⅲin 18.42% , Ⅳin 26.31% and Ⅴin 42.12%. Conclusion The puncture with YL-1 disposable needle and external drainage through unilateral or bilateral ventricles are effective to treat HICH with advantages of high success rate, simple operation, low medicine expenses and death rate.
出处
《中华神经医学杂志》
CAS
CSCD
2005年第3期283-284,共2页
Chinese Journal of Neuromedicine
