자발성 뇌실질내 혈종에 대한 Hematome과 Urokinase를 이용한 뇌정위적 혈종 흡인술에 대한 임상적 분석 = Stereotactic Removal of Spontaneous Intracerebral Hematoma Using Hematome and Urokinase

다국어 초록 (Multilingual Abstract)

We had tried to perform mechanical aspiration using Hematome 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㎖, mean evacuated amount of SICH after Hematome 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 Hematome procedure had been performed within 18 hours after ictus(p=0.0306). The rebleeding rate after Hematome procedure was 8.3%, and overall mortality rate was 12.5%. These results seem to indicate mechanical aspiration using Hematome and fibrinolytic drainage with Urokinase might be one of the useful method for treatment of SICH.