锥颅穿刺的临床应用

THE CLINCAL APPLICATION OF CRANIOPUNCTURE

目的：为了迅速减轻颅内高压，降低死亡率，提高生存质量，协助明确诊断。方法：我们采用ＣＴ或ＭＲＩ定位对各种原因引起的颅内高压患者４３１例进行锥颅穿刺抽吸引流术。结果：８９例高血压脑出血患者行此手术后死亡率３３．７％，对照组死亡率７０％，两组比较有明显差异（Ｐ＜０．００５），在降低脑疝形成者及全脑室积血者死亡率方面较对照组优越（Ｐ＜０．００５）。结论：对外伤性硬膜下或外血肿、半球梗塞、隐球菌性脑膜炎引起的颅内高压均取得明显疗效。而对颅内占位性病变不但有治疗作用。

Objective:The purpose is to release the high intracranial pressure promptly,decrease the mortality,improve the quality of live and do benefit to diagnosis.Method:Altogether 431 patients with high intracranial pressure,which are caused by all kinds of factors.were punctured and drown by the location of CT or MRI。Results: 89 cases after operation has been taken into account.It indicates that their mortality comes up to 33.7%.Whereas,the contrased group 70%.They each other have a remarkable differece(P<0.005).It also indicates That the operation group is superior to the contrasted group in decreasing the mortality of tonsillar hernia and being fall of blood in all the ventricles(P<0.05) Conclusion:that the operation distinctive effects on traumatic subdural and estradural,the half ball in faretion and torular meningitis,that not only has therapeutic effects on occuping intracranial diseases but also can be helpful to define it.