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Journal of Korean Neurosurgical Society 1995;24(4): 430-434. |
Stereotactic Removal of Spontaneous Intracerebral Hematoma Using Hematome and Urokinase. |
Jae Sub Noh, Hjin Soo Pyen, Chul Hu, Soon Ki Hong, Hun Joo Kim, Yong Pyo Han |
Department of Neurosurgery, Yonsei University, Wonju College of Medicine, Wonju, Korea. |
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ABSTRACT |
We had tried to perform mechanical aspiration using Hematoma 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 Hematoma procedure was 46.25+/-23.64%, and mean evacuated amount of SICH after fibrinolytic drainage after Urokinase was 74.15+/-20.89%, compared with pre-operative status. We could aspirate more than 50% of hematoma if the Hematoma procedure had been performed within 18 hours after ictus(p=0.0306). The rebleeding rate after Hematoma procedure was 8.3%, and overall mortality rate was 12.5%. There results seem to indicate mechanical aspiration using Hematoma and fibrinolytic drainage with Urokinase might be one of the useful method for treatment of SICH. |
Key Words:
Spontaneous intracerebral hematoma(SICH); Hematoma; Urokinase |
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