侧脑室三角区穿刺外引流治疗重症脑室内出血的临床体会

Experience of serious intraventricular hemorrhage treated by ventricular extra-drainage in the triangular area of lateral cerebral ventricle

目的探讨重症脑室内出血经侧脑室三角区外引流的治疗方法。方法对46例重症脑室内出血患者,颅骨钻孔侧脑室三角区穿刺外引流术,同时辅以单侧或双侧脑室外引流术。结果46例中死亡8例,其余38例的生存质量按照日常活动生活质量标准(ADL)评定,Ⅰ级13例,Ⅱ级12例,Ⅲ级10例,Ⅳ级3例。结论该方法是一种治疗重症脑室内出血效果较好、操作简单、费用低、安全有效的方法。

Objective To discuss the treatment methods of serious intraventrieular hemorrhage with external ventrieular drainage in the triangular area of lateral cerebral ventricle. Methods After CT localization of the hematoma in 46 eases of serious intraventrieular hemorrhage, ventrieular extra-drainage through the triangular area of lateral ventricle, and extra-drainage through unilateral or bilateral ventricles in the frontal horn, were adopted to dear ventrieular hematoma. Results In 46 eases, 8 patients died postoperatively, the other 38 eases survived, whose activities of daily lives（ADL） were grade Ⅰ of 13 eases , gradeⅡ of 11 eases, grade Ⅲ of 8 eases , grade Ⅳ of 4 eases,grade V of 2 eases. Conclusion The ventrieular extra-drainage in the triangular area of lateral cerebral ventricle is effective to intraventrieular hemorrhage with the advantages of high success rate, simple operation, low medicine expenses and safety.