多通道微创治疗重症脑室出血的研究

目的:探讨脑室出血恰当的治疗方法及全脑室高密度影时血肿的状态特点。方法:用多通道脑室引流的技术治疗脑室出血,将对照两组病例治疗过程,病情变化及脑室出血治疗来认识脑室内积血的特点。结果:轻型组保守治疗的患者,7天内血肿明显吸收,2周内完全吸收,患者好转明显,生活自理程度很高。重型引流组患者2周内血肿被大部分引出,但4周内无生活自理表现,死亡率降低。重型保守组患者,只有2例卧床存活,其余均死亡。结论:脑室出血患者中,脑室积血完全是脑积液的,可以不手术治疗,脑室出血血肿不是完全呈铸型状态的及部分轻度梗阻的患者,可以采用单通道治疗,对于脑室积血完全是血肿形态的必须做多通道引流。

Objective：Discusses when the ventricles of the brain hemorrhage appropriate method of treatment and the entire ventricles of the brain high density shade haematoma condition characteristic.Method：Will treat the ventricles of the brain hemorrhage with the multichannel ventricles of the brain drainage technology,will compare two group of case of illness course of treatment,the condition change and the ventricles of the brain hemorrhage treatment knows in the ventricles of the brain the hematocele characteristic.Results：The light group conservative treatment patient,in 7 days the haematoma obvious absorption,in 2 weeks absorbs completely,the patient changes for the better obviously,the life takes care of oneself the degree to be very high.In the heavy drainage group＇s patient 2 weeks the haematoma majority of is drawn out,but in 4 weeks takes care of oneself the performance without the life,the mortality rate reduces.Heavy conservative group＇s patients,only then 2 example bed survival,other died.Conclusion：In the ventricles of the brain hemorrhage patient,the ventricles of the brain hematocele is completely the brain accumulates the fluid,may the surgery not treat,the ventricles of the brain hemorrhage haematoma is not assumes the cast condition and the part mild obstruction patient completely,may use the single channel treatment,is completely the haematoma shape must make the multichannel drainage regarding the ventricles of the brain hematocele.