Treatment of hypertensive cerebral hemorrhage broken into ventricular by ventricular puncture combinding continuous external lumbar drainage

Objective To evaluate the safety and effectiveness of treatment of hypertensive cerebral hemorrhage broken into ventricular by ventricular puncture combinding continuous external lumbar drainage and improve the success and reduce mortality.Methods 56 patients received single or double ventricular puncture and drainage at the anterior horn using self-made cones at the bedside under local anesthesia.5-6 hours after the puncture,10,000-20,000 units of urokinase diluted to 4-5ml was injected into ventricles,the drainage tubes were occluded,head was elevated 30°,2-4hous later,drainage pipe was opened,repeat the operation twice per day.Bilateral drainage is applied alternately open and clamping drainage.Lumbar drainage of cerebrospinal fluid was taken 3-7 days after ventricular puncture and drainage.Results19 cases had favourable outcome,14 cases were middle disabled,9 cases were the severely disabled,14 patients were dead,the mortality rate was 25%.Conclusion Treatment of hypertensive cerebral hemorrhage broken into ventricular by ventricular puncture combinding continuous external lumbar drainage was micro-invasive,fast,convenient,safe and effective,it can be carried out in primary hospitals.