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KMID : 0359819950240040430
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 4 p.430 ~ p.434
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Stereotacitc Removal of Spontaneous Intracerebral Hematoma Using Hematome and Urokinase
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노재섭
변진수/허철/홍순기/김헌주/한용표
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Abstract
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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 ml, 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 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.
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KEYWORD
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