中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
1期
4-5
,共2页
急性高血压性丘脑出血%脑室铸型病例%尿激酶%综合救治方法
急性高血壓性丘腦齣血%腦室鑄型病例%尿激酶%綜閤救治方法
급성고혈압성구뇌출혈%뇌실주형병례%뇨격매%종합구치방법
Acute hypertensive thalamic hemorrhage%Intraventricular cast cases%Urokinase%Comprehensive treatment method
目的:探讨急性高血压性丘脑出血、脑室铸型病例的综合救治方法.方法:对我院2010年1月至2012年7月46例血肿量在10-30ml之间的高血压性丘脑出血、脑室铸型的患者综合运用侧脑室穿刺、64排CT引导立体定向血肿穿刺置管外引流、腰大池置管外引流术,侧脑室及血肿腔注入尿激酶进行救治.结果:46例中存活40例,21例生活可以自理,15例基本自理,4例卧床不能自理,死亡6人.结论:侧脑室穿刺,64排CT引导立体定向血肿排空术,腰大池置管外引流术、侧脑室及血肿腔注入尿激酶的综合运用是治疗高血压性丘脑出血、脑室铸型的有效方法.
目的:探討急性高血壓性丘腦齣血、腦室鑄型病例的綜閤救治方法.方法:對我院2010年1月至2012年7月46例血腫量在10-30ml之間的高血壓性丘腦齣血、腦室鑄型的患者綜閤運用側腦室穿刺、64排CT引導立體定嚮血腫穿刺置管外引流、腰大池置管外引流術,側腦室及血腫腔註入尿激酶進行救治.結果:46例中存活40例,21例生活可以自理,15例基本自理,4例臥床不能自理,死亡6人.結論:側腦室穿刺,64排CT引導立體定嚮血腫排空術,腰大池置管外引流術、側腦室及血腫腔註入尿激酶的綜閤運用是治療高血壓性丘腦齣血、腦室鑄型的有效方法.
목적:탐토급성고혈압성구뇌출혈、뇌실주형병례적종합구치방법.방법:대아원2010년1월지2012년7월46례혈종량재10-30ml지간적고혈압성구뇌출혈、뇌실주형적환자종합운용측뇌실천자、64배CT인도입체정향혈종천자치관외인류、요대지치관외인류술,측뇌실급혈종강주입뇨격매진행구치.결과:46례중존활40례,21례생활가이자리,15례기본자리,4례와상불능자리,사망6인.결론:측뇌실천자,64배CT인도입체정향혈종배공술,요대지치관외인류술、측뇌실급혈종강주입뇨격매적종합운용시치료고혈압성구뇌출혈、뇌실주형적유효방법.
Objective:To investigate the comprehensive treatment of the acute hypertensive thalamic hemorrhage, intraventricular cast cases.Methods:The hospital from 2010 to 2012 patients with 46 cases of hematoma volume between(10~30)ml of hypertensive thalamic hemorrhage, intraventricular cast the use of the lateral ventricle puncture, a 64-slice CT-guided stereotactic hematoma puncture external drainage catheter, lumbar catheter outside the drainage of the lateral ventricle, and the hematoma cavity injection of urokinase for treatment.Results:Of the 46 cases survived for 40 cases, 21 cases of life can take care of themselves, 15 cases of basic self-care, four cases of bed rest can not take care of themselves, and 6 deaths.Conclusion:The lateral ventricle puncture, a 64-slice CT to guide stereotactic hematoma emptying surgery, lumbar catheter drainage of the lateral ventricle and the hematoma cavity injection of urokinase integrated use of effective methods for the treatment of hypertensive thalamic hemorrhage, intraventricular cast .
