延迟腰大池持续引流配合改良双侧脑室外引流在治疗脑室出血铸型中的应用体会

Application experience of delay of continuous lumbar cisterna drainage with improved bilateral intraventricular external drainage in treatment of ventricular hemorrhage casting

目的总结延迟腰大池置管持续引流配合改良双侧脑室钻孔引流在治疗脑室出血铸型中的疗效和经验。方法对55例脑室出血并铸型的患者行双侧脑室外引流和延迟留置腰大池管持续引流的疗效进行分析。结果本组55例中47例（85.5%）治疗成功,8例死亡,脑室内血肿清除时间5~7 d者12例,8~10 d者32例,三、四脑室内积血消失平均8 d。存活的47例中3例发生脑积水,2例发生颅内感染。结论该方法在提高救治成功率、降低致残率、减少颅内感染和脑积水的发生率及提高生存质量等方面有积极意义。

Objective To conclude the experience and curative effect on delay of continuous lumbar cisterna drainage with improved bilateral intraventricular external drainage in the treatment of ventricular hemorrhage casting. Methods Totally 55 cases of patients with ventricular hemorrhage casting were treated with delay of continuous lumbar cisterna drainage and improved bilateral intraventricular external drainage,to analyze the clinical curative effect. Results IN this group 55 patients,47 cases successful treatment,8 deaths,the total effective rate85. 5%,Intraventricular hematoma removal time 12 cases 5 ~ 7 days,32 cases of 8 ~ 10 days,Three or four intraventricular hemorrhage disappeared on average eight days,Survival 47 cases,3 cases of hydrocephalus,2cases had intracranial infection. Conclusion The method has positive significance in improving treatment success rate,reduce disability rate,to reduce intracranial infection and incidence of hydrocephalus and improve the quality of survival,etc.