腰大池联合侧脑室引流治疗自发性脑室出血

Terminal cistern drainage joint lateral ventricle drainage treatment of spontaneous intraventricular hemorrhage

目的评价腰大池联合侧脑室引流治疗自发性脑室出血的疗效。方法分析本科2003.07-2012.12手术治疗自发性脑室出血的83例患者,将其分为两组,38例患者采用侧脑室穿刺引流+腰大池引流,45例患者采用侧脑室穿刺引流+尿激酶冲洗+腰穿放脑脊液。结果采用侧脑室穿刺引流+腰大池引流一组比采用侧脑室穿刺引流+尿激酶冲洗+腰穿放脑脊液一组疗效显著提升。结论自发性脑室出血,特别是侧脑室及三、四脑室铸型的患者死亡率非常高,能及时有效的清除脑室内血肿对病人的预后非常重要,侧脑室穿刺引流联合腰大池引流治疗自发性脑室出血,患者生存率明显提高。

Objective To evaluate terminal cistern drainage joint lateral ventricle drainage treatment of spontaneous intraventricular hemorrhage. Methods 83 patients were divided into two groups of our department 2003.07-2012.12 surgical treatment of spontaneous intraventricular hemorrhage.38 patients with lateral ventricle drainage and terminal cistern drainage, 45 patients with lateral ventricle drainage and urokinase flushing and lumbar puncture drainage cerebrospinal fluid. Results Lateral ventricle drainage and terminal cistern drainage than lateral ventricle drainage and urokinase flushing and lumbar puncture drainage cerebrospinal fluid is more efficacy. Conclusion Spontaneous intraventricular hemorrhage, especially the lateral ventricles and the third, fourth ventricle mold is a very high mortality rate,and Therefore able to timely and effective removal of intraventricular hematoma for the patient’s prognostic is very important.terminal cistern drainage joint lateral ventricle drainage treatment of spontaneous intraventricular hemorrhage, the patient survival rate was significantly improved.