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近年来采用脑室外引流,尿激酶脑室内灌注,辅以尼莫通静脉滴注的方法治疗早期全脑室内出血7例,现报告如下:1 临床资料1.1 一般资料 本组男性5例,女性2例,年龄在32～68岁,发病至脑室穿刺时间为2～36小时。1.2 临床表现 突发性头痛,呕吐伴神志模糊4例,浅中度昏迷2例,深度昏迷1例,高热、去脑干强直1例,双瞳大小多变光反应消失2例,一侧肢体偏瘫4例,病程中并发消化道出血4例,逆行脑室内感染1例,水电解质紊乱2例。1.3 影像检查 头颅CT平扫血肿位于基底节迫入脑室者4例,伴脑室铸型,均有明显高血压病史。单纯全脑室出血铸型
In recent years, the use of cerebral ventricular drainage, urokinase intraventricular perfusion, combined with intravenous drip of nimotop for early treatment of intraventricular hemorrhage in 7 cases, are as follows: 1 Clinical data 1.1 General Information The group of 5 males and 2 females , Aged 32 to 68 years old, onset to ventricular puncture time is 2 to 36 hours. 1.2 Clinical manifestations of sudden headache, vomiting with delirium in 4 cases, 2 cases of moderate coma, deep coma in 1 case, high fever, brain stem ankylosis in 1 case, double pupil size changeable light reaction disappeared in 2 cases, one limb 4 cases of hemiplegia, 4 cases of concurrent gastrointestinal bleeding, 1 case of retrograde ventricular infection, 2 cases of water and electrolyte imbalance. 1.3 imaging examination skull CT scan hematoma in the basal ganglia into the ventricle in 4 cases, with ventricular mold, have a significant history of hypertension. Pure whole ventricular hemorrhage mold