KẾT QUẢ TIÊU SỢI HUYẾT NÃO THẤT TRONG ĐIỀU TRỊ CHẢY MÁU NÃO - NÃO THẤT TẠI BỆNH VIỆN ĐA KHOA TỈNH LÀO CAI

Abstract

Objective: Evaluate the results of intraventricular thrombolysis in the treatment of intraventricular hemorrhage at Lao Cai Provincial General Hospital. Methods: Prospective descriptive study on 39 patients with intraventricular hemorrhage treated at Lao Cai Provincial General Hospital from August 2023 to June 2025. Results: Average age 60.2 ± 12.3. Up to 51.3% of patients had severe hemorrhage according to Graeb and 82.1% of patients had supratentorial hemorrhage. The most commonly used total dose of Alteplase was 3 mg in 18 patients. The duration of mechanical ventilation was 12.4±5.4 days, and external ventricular drainage was 7.3±2.8 days. The average number of days in hospital was 18.3±7.9 days. After 3 months, there were 29 patients, with an improvement in the median score on the modified Rankin scale (mRS) from 4 to 3 points. Complications related to external ventricular drainage and intraventricular thrombolysis were low: 7.7% with recurrent bleeding and ventriculitis. Conclusion: Lao Cai Provincial General Hospital has implemented treatment of patients with acute intracerebral hemorrhage by drainage and using thrombolytic drugs, bringing about positive treatment results with good recovery results, low mortality and complications.