脑脊液腰大池引流治疗创伤性蛛网膜下腔出血的临床分析

Clinical analysis of lumbar continuous drainage of cerebrospinal fluid treatment traumatic subarachnoid hemorrhage

目的腰大池引流治疗创伤性蛛网膜下腔出血(tSAH)的疗效观察。方法对192例创伤性蛛网膜下腔出血对照组采用常规治疗,治疗组除常规治疗外,采用腰椎穿刺加腰大池置管脑脊液(CSF)置换疗法治疗,对两组治疗方法的治疗效果进行总结评估。结果治疗组恢复良好89例,轻残9例;对照组恢复良好44例,轻残38例,重残9例,植物状态生存2例,死亡l例。治疗组疗效明显优于对照组,组间差异具有显著性意义(P<0.01)。结论腰大池引流脑脊液置换的方法,治疗tSAH引起的脑血管痉挛(CVS)和脑积水临床疗效良好,对减轻症状及改善预后有重要意义。

Objective To observe the effects of the lumbar drainage in the treatment of traumatic subarachnoid hemorrhage （tSAH）. Methods 192 cases of traumatic subarachnoid hemorrhage in the control group using conventional treatment, group therapy in addition to conventional treatment, plus use of lumbar puncture lumbar catheter cerebrospinal fluid （CSF） replacement therapy, the treatment of the two groups of treatment to sum up Assessment. Results The results in the treatment group 89 eases of good recovery, residues Light 9 ; control group, 44 patients made a good recovery, residues light of 38 cases, 9 cases of severely disabled, vegetative state to survive 2, 1 death cases. Efficacy in the treatment group was better than the control group, the difference between the groups was significant （P 〈 0. 01）. Conclusions Lumbar cerebrospinal fluid drainage way tSAH caused by the treatment of cerebral vasospasm （CVS） and hydrocephalus good clinical efficacy in alleviating symptoms and improving the prognosis of great significance.