目的 :观察侧脑室穿刺尿激酶灌注治疗急性脑室内出血的疗效。方法 :在强化及局部麻醉下行钻孔侧脑室穿刺 ,尿激酶灌注溶解血块外引流治疗 82例急性脑室内出血。结果 :82例治愈 37例 (45 .1% ) ,好转 2 3例 (2 8% ) ,死亡 2 2例 (2 6 .8% )。结论 :侧脑室穿刺尿激酶灌注治疗急性脑室内出血方法简便易行 ,创伤小 ,疗效好。 Objective: To observe the effect of intraventricular perfusion of urokinase on acute intraventricular hemorrhage. Methods: Forty-two cases of acute intraventricular hemorrhage were treated with lateral perforating of the lateral ventricle through perfusion and urokinase infusion in intensive and local anesthesia. Results: 82 cases were cured in 37 cases (45.1%), improved in 23 cases (28%) and died in 22 cases (26.8%). Conclusion: Intraventricular perfusion of urokinase for the treatment of acute intraventricular hemorrhage is simple and easy, less trauma and good curative effect.