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KMID : 0359819950240030246
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 3 p.246 ~ p.252
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Steotacitc Evacuation and Urokinase Irrigation in the Mnagenent of Spontaneous Intracerebral Hemorrhage
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추원호
조정현/황병욱/오남훈/심영보/송준호/하인선/이용성
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Abstract
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The best tr5eatment modality of spontaneous intracerebral hematoma is still controversal. but stereotactic surgery can minimize the brain damage and be performed under local anesthesia.
Recently we experienced 46 cases of spontaneous intracerebral hematoma which were operated using ZD (Zamorano-Dujovny) stereotactic system and urokinase irrigation from November 1990 to April 1993. Before operation. computerized tomographic
scanning was
done to locate the hematoma, assess the amount, and the determine the stereotactic coordinates. The silastic tube was inserted after stereotactic evacuation of hematoma and urokinase irrigation was repeated every 6 to 8 hours until the hematoma
was
cleared up.
The results were analysed and we concluded that we can substitute open craniectomy or conservative treatment for stereotactic evacuation of spontaneous intracerebral hematoma combined with urokinase irrigation in certain instances and can
minimize
the
brain damage regardless the patient's general condition or past history.
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