双侧脑室引流灌洗加脑脊液置换疗法在治疗高血压性脑室出血的应用

Application of bilateral ventricle drainage with cerebrospinal fluid exchange by lumbar puncture in the treatment of intraventricular hemorrhage caused by hypertension

目的探讨高血压性脑室出血的治疗方法。方法采用双侧脑室引流灌洗加腰穿脑脊液置换的联合方法,治疗高血压性脑室出血45例,并依据其治疗效果,与常规单侧引流的101例资料对照。结果采用双侧脑室引流灌洗加腰穿脑脊液置换的联合方法的治疗组总有效率明显高于对照组,同时病死率明显下降。结论双侧脑室引流灌洗加腰穿脑脊液置换,是治疗高血压性脑室出血的一种安全有效的方法。

Objective To study the effective treatment for ventricular hemorrhage caused by hypertension.Methods There were two types of methods of treatment used for a total of 146 cases ventricular hemorrhage caused by hypertension, which included medical treatment combined with unilateral ventricular drainage（101 cases）and medical treatment combined with bilateral lateral ventricular drainage and lumbar puncture（45 cases）.Results The cure rate,the total effective rate of the bilateral ventricular drainage group were significantly higher than the other groups（P〈0.05）.In addition, the mortality rate of this group was significantly lower than the unilateral drainage group（P〈0.01）.Conclusion Bilateral lateral ventricular drainage combined with lumbar puncture is a safe and effective method for ventricular hemorrhage caused by hypertension.