Stereotactic Removal of Spontaneous Intracerebral Hematoma Using Hematome and Urokinase.
- Author:
Jae Sub NOH
1
;
Hjin Soo PYEN
;
Chul HU
;
Soon Ki HONG
;
Hun Joo KIM
;
Yong Pyo HAN
Author Information
1. Department of Neurosurgery, Yonsei University, Wonju College of Medicine, Wonju, Korea.
- Publication Type:Original Article
- Keywords:
Spontaneous intracerebral hematoma(SICH);
Hematoma;
Urokinase
- MeSH:
Drainage;
Hematoma*;
Humans;
Mortality;
Suction;
Urokinase-Type Plasminogen Activator*
- From:Journal of Korean Neurosurgical Society
1995;24(4):430-434
- CountryRepublic of Korea
- Language:Korean
-
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.
