Niizuma H, Otsuki T, Johkura H, Nakazato N, Suzuki J
Appl Neurophysiol. 1985;48(1-6):427-30. doi: 10.1159/000101172.
CT-guided stereotactic aspiration was performed in the CT room on 97 patients with hypertensive intracerebral hematomas, using a standard ventricular cannula. Residual hematomas were liquefied by urokinase and aspirated through the drainage tube. Major and minor rebleeding were seen in 7 cases. Two out of the 4 major rebleeding cases were followed by craniotomy, while the other cases were treated conservatively. More than 80% of the hematomas were aspirated in 68 cases, 50-70% in 19 cases and 30-40% in 6 cases. Operation in the CT room and hematoma lysis with urokinase is very useful for the aspiration of intracerebral hematomas.
对97例高血压性脑出血患者在CT室进行CT引导下立体定向穿刺抽吸，使用标准脑室套管。残留血肿用尿激酶液化后通过引流管抽吸。7例出现大、小再出血。4例大再出血患者中有2例随后接受了开颅手术，其他病例采用保守治疗。68例患者血肿抽吸率超过80%，19例为50 - 70%，6例为30 - 40%。在CT室进行手术及用尿激酶溶解血肿对脑内血肿抽吸非常有用。
