改良脑脊液置换术治疗脑室出血

Treatment of Intraventricular Hemorrhage by Modified Displacement of Cerebrospinal Fluid

目的 探讨重症脑室出血急性期治疗方法，提高疗效；方法 我们将６９ 例患者随机分成两组。治疗组采用改良脑脊液置换术，对照组采用单侧脑室“Ｙ”形双腔管冲洗引流术，进行临床对比观察；结果 脑室内积血清除时间， 治疗组３ ．８ ±１ ．２７ 天，对照组８ ．４ ±２ ．４３ 天， 两组比较差异有非常显著性（ Ｐ＜ ０ ．０１） ； 治疗组总有效率９１．４ ％ ，死亡率８．６ ％ ，对照组分别为７０ ．６ ％ 和２９ ．４ ％ ，两组比较差异有显著性（ Ｐ＜ ０ ．０５） ；结论 改良脑脊液置换术治疗重型脑室出血明显优于单纯侧脑室“Ｙ”形双腔管冲洗引流术。

Objective To explore the treatment method of acute intraventricular hemorrhage, to improve their outcome. Methods 69 cases of intraventricular hemorrhage were divided into two groups. The therapeutic group of 35 cases was applied with modified displacement of cerebrospinal fluid; the control group was double-channel tube ventricular drainage. Results Clearing time of intraventricular hemorrhage of the therapeutic group was 3.8±1.27 days,the control group 8.4±2.43 days( P<0.01). The total response rate and mortality of the therapeutic group were 91.4% and 8.6% respectively,the control group were 70.6% and 29.4% (0.01<P<0.05).Conclusion The modified displacement of cerebrospinal fluid is more offective than double-channel tube ventricular drainage, it will greatly improve the prognosis of severe intraventricular hemorrhage.