Skull-drilling and urokinase perfusion in the treatment of hypertensi ve intracerebral hemorrhage:report of 46 cases
CHEN Xiao-feng, WEN Zhong-hua, ZHOU Kang-sheng, LIU Wen-jun, YANG Li n. Department of Neurosurgery, People's Hospital of Huidong County, Huidong 5 26300, China
Objective To discuss the therapeutic effect of skull- drilling and urokinase perfusion in the treatment of hypertensive intracerebral hemorrhage. Methods The hematoma localized with CT before surgery was drai ned and dissolved with urokinase through the pumping duct inserted in the hand-d rilled approach. Results Of the 46 patients, 10 underwent the operation 6 h after hemorrhage, and 1 died; 24 had the operation 6~24 h after hemorrhage, and 5 died; 6 had the operation 1~3 d after hemorrhage, and 2 died; 6 had the opera tion 3~5 d after hemorrhage, and 1 died. Conclusion The large-diameter dra inage duct and large-dose urokinase perfusion can achieve better therapeutic eff ects in the treatment of hypertensive intracerebral hemorrhage, and the operatio n should be as early as possible.
【CateGory Index】： R651.12