Stereotactic computed tomographic-guided aspiration and thrombolysis of intracerebral hematoma - Protocol and preliminary experience
Stereotactic computed tomographic-guided aspiration and thrombolysis of intracerebral hematoma - Protocol and preliminary experience
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DOI：
10.1161/01.str.31.4.834
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发表时间：
2000-04-01
期刊：
影响因子：
8.3
通讯作者：
Awad, IA
中科院分区：
文献类型：
--
作者：
Montes, JM;Wong, JH;Awad, IA
背景和目的--我们回顾了脑内血肿（ICH）患者通过立体定向CT（CT）引导下溶栓和抽吸治疗的初步经验，并评估了手术的可行性和safety. Methods--12例幕上ICH大于或等于25 mL，且无可疑的潜在结构病因或凝血障碍和初始格拉斯哥昏迷评分（GCS）的患者评分大于或等于5的患者接受治疗。在CT引导下，通过钻孔将导管立体定向或手动导入ICH。血肿抽吸后滴注尿激酶（5 000 - 10 000 TCT）。每6 - 8小时在床边重复一次，间隔CT成像，直到ICH体积减少到
Background and Purpose-We review preliminary experience with patients harboring intracerebral hematoma (ICH) treated by stereotactic computed tomographic (CT) guided thrombolysis and aspiration and assess procedure feasibility and safety.Methods-Twelve patients with supratentorial ICH greater than or equal to 25 mL without suspected underlying structural etiology or coagulopathy and an initial Glasgow Coma Scale (GCS) score of greater than or equal to 5 were treated. A catheter was directed stereotactically or manually into the ICH through a burr hole under CT guidance. Hematoma aspiration was followed by instillation of urokinase (5 000 to 10 000 TCT). This was repeated every 6 to 8 hours at bedside, with interval CT imaging, until the ICH volume diminished to