联合引流治疗重型脑室出血的临床研究

Clinical research to bilateral ventricular drainge and lumbar puncture in severe ventricular hemorrhange

目的探讨重型脑室出血的有效治疗方法。方法采用内科治疗加单侧脑室引流(45例)和内科治疗加双侧脑室置管引流结合腰穿脑脊液置换(45例)两种方法,对90例重型脑室出血的患者进行治疗。结果双侧引流+腰穿组其治愈率(46%),总有效率(88.9%)及Barthel Indexes(BI)(90±15)分均明显高于内科疗法+单侧脑室引流(P<0.05～0.01),并且其血肿清除时间(5～7d)也明显短于单侧引流组(12～14d)。结论双侧侧脑室置管引流+腰穿脑脊液置换是一种安全有效的治疗重型脑室出血的方法。

Objective To study the effective treatment for severe ventricular hemorrhage. Methods There were two types of methods of treament used for a total of 90 eases severe ventriular hemorrhage, which included only medical treatment,combined with unilateral ventricular drainage（45 cases ） and medical treatment combined with bilateral lateral ventricular drainge and lumber punctare （45 cases）. Results The cure rate, the total effective rate and Barthel indexes of the bilateral ventricular drainage group were sign ificantly higher than the other group （P〈0.05-0.01）, In addition, the semoval time of the intraventricular hemorrhange of this group was significantly lower than the unilateral drainage group（P〈0.01）. Conclusion Bilatara＇l lateral ventricular drainage combined with lumbar punetare can be a safe and effective method for severe ventricular hemorrhange.