脑脊液置换术治疗脑室型原发脑室出血30例

Treatment of Primary Hemorrhage into Partial Ventricles of the Brain by Displacement of the Cerelrospinal Fluid--A Report of 30 Cases

目的 :观察单纯腰椎穿刺 (腰穿 )脑脊液置换术治疗部分脑室型原发脑室出血的临床价值。方法 :设治疗组 30例和对照组 2 8例。两组入院后均给予常规药物治疗 ;治疗组在 2 4h内施行第一次腰穿脑脊液置换术 ,qd ,共 3～ 5次。结果 :治疗组总有效率 93.3% ,对照组总有效率 78.6 % ,经统计学处理差异有极显著性 (P <0 .0 1)。结论 :采用单纯腰穿脑脊液置换术治疗部分脑室型原发脑室出血疗效好 ,且简便安全易操作。

Objective:To survey the clinical therapeutic effect of cerebrospinal fluid (CSF) displacement by lumbar puncture in the treatment of primary hemorrhage into partial ventricles of the brain. Methods:Patients in both the treatment group and control group were given routine remedies after admission to our hospital. Within 24 h after admission, patients of the treatment group were subjected to the first displacement of CSF by lumbar puncture. Briefly the procedure was as follows. Approximately 6 ml of CSF were let to drop out from the puncture needle and an equal amount of 0.9% sodium chloride solution was injected into the subarachnoid space. The procedore was repeated for several times until 30～50 mL of bloody CSF were displaced. CSF displacement was carried out daily for 3～5 consecutive days. Results:The total effective rate was 93.3% in patients of the treatment group and 78.6% in those of the control group. The difference was statistically highly significant ( P <0.01). Conclusion:CSF displacement simply by lumbar puncture was found to have a good effect in the treatment of primary hemorrhage into partial ventricles of the brain. The procedure is safe and easy to operate.