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目的:探讨和研究高血压丘脑出血破入脑室的临床治疗方法。方法:分析2004年1月—2011年4月我科收住的60例高血压丘脑出血破入脑室患者的临床资料,分为观察组和对照组,每组30例,观察组行双侧侧脑室前角软通道置管引流加尿激酶(UK)冲洗的治疗方法;对照组行(血肿侧)单侧侧脑室穿前角穿刺软通道置管引流加尿激酶(UK)冲洗的治疗方法,比较两组疗效。结果:观察组血肿清除时间明显短于对照组,术后并发症的发生率明显低于对照组,且术后随访6个月,观察组日常生活能力(ADL)评定预后情况明显优于对照组,P<0.05。结论:对高血压丘脑出血破入脑室的患者行双侧侧脑室前角穿刺软通道置管外引流加尿激酶冲洗术较行单侧侧脑室前角穿刺软通道置管外引流加尿激酶冲洗术疗效显著。
Objective: To investigate and study the clinical treatment of hypertensive thalamic hemorrhage breaking into the ventricle. Methods: The clinical data of 60 patients with hypertensive thalamic hemorrhage penetrating ventricles admitted in our department from January 2004 to April 2011 were divided into observation group and control group, with 30 cases in each group. The bilateral sides Venous anterior chamber soft-channel catheter drainage and urokinase (UK) irrigation treatment; control group (hematoma side) unilateral lateral ventricle puncture soft-channel catheter drainage plus urokinase (UK) irrigation treatment, Compare the two groups curative effect. Results: The hematoma clearance time in the observation group was significantly shorter than that in the control group. The incidence of postoperative complications was significantly lower than that in the control group. After 6 months of follow-up, the prognosis of the ADL group was significantly better than that of the control group , P <0.05. Conclusion: Hypertensive thalamic hemorrhage in patients with ventricular rupture of bilateral anterior lateral ventricle puncture canal drainage catheter plus urokinase flushing than unilateral lateral ventricle puncture soft-channel catheter drainage catheter plus urokinase Surgery significant effect.