小脑延髓池穿刺治疗继发性脑室出血60例分析

Cerebellar cistern puncture treatment of secondary analysis of 60 cases of intraventricular hemorrhage

目的评估小脑延髓池穿刺治疗脑室出血的疗效。方法选择60例经CT证实的继发性脑室出血患者行小脑延髓池穿刺术,部分配合侧脑室引流术。其中基底节区出血破入脑室37例,小脑出血破入脑室14例,桥脑出血破入脑室9例,超早期、急性期和亚急性期手术各4、36和20例。结果 8例死亡;存活者中随访3月以上,ADL评分Ⅰ、Ⅱ、Ⅲ、IV和V级者分别为28、18、4、1和1例。结论该手术可有效降低继发性脑室出血病的死亡率。

Objective Assessing curative effect of cerebellar cistern puncture intraventricular hemorrhage. Methods Selecting 60 cases with CT confirmed secondary intraventricular hemorrhage undergoing cerebellar cistern puncture, some with lateral drainage. Among which 37 cases of basal ganglia hemorrhage breaking into the ventricle, 14 cases of cerebellar hemorrhage rupturing into ventricle, 9 cases of the pons hemorrhage breaking into the ventricle, ultra-early, acute and subacute stage operation of the 4,36 and 20 cases. Results The 8 cases of death; survivors followed up for 3 months or more in ADL score Ⅰ, Ⅱ, Ⅲ, Ⅳ and Ⅴ grade 28,18,4,1 and 1 case respectively. Conclusion This operation can effectively reduce the mortality rate of secondary ventricular hemorrhage.