자발성 뇌실질내 혈종에 대한 Hematome과 Urokinase를 이용한 뇌정위적 혈종 흡인술에 대한 임상적 분석
Stereotacitc Removal of Spontaneous Intracerebral Hematoma Using Hematome and Urokinase
소속 상세정보
노재섭
변진수/허철/홍순기/김헌주/한용표
KMID : 0359819950240040430
Abstract
We had tried to perform mechanical aspiration using Hematome and fibrinolytic drainage with Urokinase for treatment of spontaneous intracerebral hematoma (SICH) in 24 patients.
Mean initial volume of SICH was 53.65 26.34 ml, mean evacuated amount of SICH after Hematome procedure was 46.25 23.64%, and mean evacuated amount of SICH after fibrinolytic drainage after Urokinase was 74.15 20.89%. compared with with
pre-operative
status. We could aspirate more than 50% of hematoma if the Hematome procedure had been performed within 18 hours after ictus (p=0.0306). The rebleeding rate after Hematome procedure was 8.3%. and overall mortality rate was 12.5%. These results
seem
to
indicate mechanical aspiration using Hematome and fibrinolytic drainage with Urokinase might be one of the useful method for treatment of SICH.
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