Pore Cranial Drill as a Simple and Quick Approach for Ventricular Hemorrhage Management：Technical Note

摘要

Objectives：To increase the successful rate of cure and decrease the severe disability rate and death rate, the rapid pore cranial drill was used in the treatment of ventricular hemorrhage caused by thalamic hemorrhage. The clinical effects and experiences of using rapid pore cranial drill with external ventricular drainage (EVD) were summarized, and the significance of pore cranial drill was assessed.Methods: 401 cases of ventricular hemorrhage caused by thalamic hemorrhage between May 1983 and December 2010 were retrospectively analyzed. All cases were performed EVD with pore cranial drill (including infusion with urokinase). There were 212 males and 189 females who ranged in age from 19 to 78 years (mean 65.2 years). The technique details with this drill were described.Results: At one month following the operations, there were 147 cases (36.7%) showing cured, 192 (47.9%) showing improvement, and the remaining 62 (15.4%) showing either against-advice discharge or died. The prognoses were evaluated based on the activity of daily living (ADL) after the 1-3 months treatment. Two typical cases were presented with detailed histories and imaging data.Conclusion: Pore cranial drill with EVD (including infusion with urokinase) is a simple and quick treatment approach for ventricular hemorrhage caused by thalamic hemorrhage. The technique has the advantage of making full use of every minute to rescue the patients of severe craniocerebral diseases.