脑室穿刺加腰椎穿刺脑脊液置换治疗脑室出血铸型的研究
柯东风;黄宏汉;沈锦辉;邱伟林;魏强
【期刊名称】《中国医药》 【年(卷),期】2008(003)006
【摘要】Objective To observe the therapeutic effect of intraventricular puncture and purification of cerebrrospinal fluid with spinal puncture for treatment of intraventricular hemorrhage casting. Methods Thirty-four cases of intraventricular hemorrhage casting received continuous drainage and urokinase lavage, plus intraventricular puncture and purification of cerebrrospinal fluid with spinal puncture. Meanwhile, 30 cases, as the control group,had routine conservative therapy, Results Ventricle
patency
time,
cerebrospinal
fluid
normalization
time,consciousness recovery time and hospitalization in the therapy group were significantly shorter than the control group.Re-bleeding rate in the therapy group showed no difference from control group. Mortality, morbidity and late hydrocephalus in the therapy group were significantly lower than the control group. Curative rate in the therapy group was significantly higher than the control group. Conclusion Intraventricular puncture and purification of cerebrrospinal fluid with spinal puncture proved to be an effective method for treating intraventricular hemorrhage casting.%目的 探讨脑室穿刺加腰椎穿刺脑脊液置换治疗脑室出血铸型的疗效.方法 在双侧侧脑室前角穿刺持续外引流及尿激酶
灌注的基础上,进行腰椎穿刺脑脊液置换术并注入尿激酶治疗脑室出血铸型34例(治疗组),与内科常规治疗30例(对照组)进行对照分析.结果 治疗组脑室通畅时间、脑脊液正常时间、神志转清时间、住院天数均较对照组明显缩短(P<0.01),再出血发生率(8.82%)较对照组(10.00%)无统计学意义(P>0.05),病死率(20.60%)较对照组(80.00%)显著下降(P<0.01),治愈率(44.10%)较对照组(6.70%)显著提高(P<0.01),存活病例致残率(44.40%)较对照组(66.70%)低(P<0.05),迟发性脑积水(7.40%)较对照组(33.30%)显著下降(P<0.01).结论 在双侧侧脑室前角穿刺持续外引流及尿激酶灌注的基础上,进行腰椎穿刺脑脊液置换术并注入尿激酶,是救治脑室出血铸型患者的一种积极、有效、简便的方法. 【总页数】3页(354-356)
【关键词】脑室出血;腰椎穿刺;外引流;脑脊液 【作者】柯东风;黄宏汉;沈锦辉;邱伟林;魏强
【作者单位】522031,广东省揭阳市红十字会慈云医院神经内科;522031,广东省揭阳市红十字会慈云医院神经内科;522031,广东省揭阳市红十字会慈云医院神经内科;522031,广东省揭阳市红十字会慈云医院神经内科;522031,广东省揭阳市红十字会慈云医院神经内科 【正文语种】中文 【中图分类】R743.34 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_china-medicine_thesis/0201254646107.html 【相关文献】
1.微创穿刺双侧侧脑室引流及腰椎穿刺脑脊液置换治疗重症脑室出血的临床观察 [J], 阎富仁; 王娟; 翟佳丽; 牛贯林
2.侧脑室外引流加腰椎穿刺脑脊液置换术治疗重型脑室出血的… [J], 王远臣; 李振光
3.微创铸型侧脑室穿刺引流结合腰穿脑脊液置换治疗脑室出血临床观察 [J], 韦廷求
4.双侧脑室引流溶凝冲洗加脑脊液置换术治疗脑室出血铸型 [J], 毕尚青; 周怀根; 黎国强; 梁永祥; 许冬萍; 谭志伟; 黄国飞
5.侧脑室穿刺引流结合腰穿脑脊液置换治疗脑室出血56例 [J], 胡建卫; 白燕
以上内容为文献基本信息，获取文献全文请下载
脑室穿刺加腰椎穿刺脑脊液置换治疗脑室出血铸型的研究
