摘要： 探讨经额定位穿刺术治疗颅内深部血肿的临床疗效。37 例基底节出血患者经CT 精确定位后经额穿刺抽吸血肿，并向血肿腔内注射尿激酶30 × 10³ U 以促进血肿液化排出。术后CT 显示定位满意，引流3 ~ 7 d后血肿清除率超过75%。术后2例死于并发症、2例重残、3例再出血，共33例患者预后良好。表明CT 定位方法无需复杂设备，操作简便、定位准确、临床疗效显著，适用于基层医院推广应用。

关键词: 穿刺术, 脑出血, 基底神经节, 尿纤溶酶原激活物

Abstract: This study aims to discuss the effect of an easy puncture through frontal lobe in the treatment of deep brain hematoma. The lesions of 37 patients with basal ganglia hemorrhage were accurately positioned by CT scan. Drainage tube was placed in the center of hematoma through frontal lobe and blood was aspirated. Urokinase 30 × 10³ U was injected in the hematoma postoperatively to promote the evacuation of hematoma. Postoperative CT scan showed more than 75% hematoma was cleared in all patients after 3-7 d. Two patients died of complications; 2 patients were severely disabled; 3 rebleeding happened. Almost 33 patients had a good recovery. Minimal invasion, convenient operation and exact location were the adventages of this puncture and it does not need complicated device.

Key words: Punctures, Cerebral hemorrhage, Basal ganglia, Urinary plasminogen activator