抄録
A new treatment was performed for hypertensive intracerebral hemorrhage. The procedure, indication, timing, and result of the treatment were discussed.
Stereotactic evacuation of hematomas was performed on twelve patients; six cases were thalamic hemorrhage and six were putaminal hemorrhage. None of these patients, showed severe disturbance of conseiousness. Timing of the operation ranged from seven to thirty-seven days after the ictus (subacute stage). Although most of the hematoma was usually aspirated, the remaining hematoma was liquefied by Urokinase and was drained out through a silicon tube over three to four days. Decreased mass effect and diminished high density area were confirmed on CT scans 24 hours after surgery, and all of the patients had good functional outcomes. Rebleeding due to the ill effect of Urokinase was not encountered.
