CAJ | 학술논문

目的：探讨脑室内出血的治疗方法。方法回顾性分析70例采用CT定位微创侧脑室穿刺置管加尿激酶溶解引流治疗脑室内出血患者的临床资料。结果70例患者中，存活67例（95．7％），其中Ⅰ～Ⅱ级37例（52．9％），Ⅲ级21例（30．0％），Ⅳ～Ⅴ级9例（12．9％）；死亡3例（4．3％）；无发生与引流有关的感染、出血等并发症。结论 CT定位微创侧脑室穿刺置管加尿激酶溶解引流治疗脑室内出血，可提高治愈率，降低病死率及并发症的发生率。
목적：탐토뇌실내출혈적치료방법。방법회고성분석70례채용CT정위미창측뇌실천자치관가뇨격매용해인류치료뇌실내출혈환자적림상자료。결과70례환자중，존활67례（95．7％），기중Ⅰ～Ⅱ급37례（52．9％），Ⅲ급21례（30．0％），Ⅳ～Ⅴ급9례（12．9％）；사망3례（4．3％）；무발생여인류유관적감염、출혈등병발증。결론 CT정위미창측뇌실천자치관가뇨격매용해인류치료뇌실내출혈，가제고치유솔，강저병사솔급병발증적발생솔。
Objective To explore the method of treatment on ventricular hemorrhage .Methods The clini-cal experience of 70 cases of ventricular hemorrhage with minimally invasive treatment of external ventricular drainage and injection of urokinase with CT stereotactic were summarized .Results Except for 3 cases of death ,67 cases sur-vived(95.7%),Grade Ⅰ-Ⅱwas 37 cases(52.9%),Grade Ⅲ was 21 cases(30.0%),Grade Ⅳ-Ⅴ was 9 cases (12.9%), and there was no complication of infection and bleeding associated with drainage among 70 cases. Conclusion The minimally invasive treatment of external ventricular drainage and injection of urokinase with CT ste -reotactic on ventricular hemorrhage improves the cure rate significantly ,reduces the mortality rate and the incidence of complications ,which has important clinical value .