综合连贯性治疗外伤性脑室铸型

A comprehensive and coherent treatment for traumatic ventricular mold

目的探讨综合连贯性治疗外伤性脑室铸型的疗效。方法对94例外伤脑室铸型患者分两组,其中48例采用手术、侧脑室外引流、尿激酶灌注、腰大池持续外引流综合连贯性治疗的患者为治疗组,46例行单纯脑室外引流的患者为对照组,并对其死亡率和临床有效率进行评估。结果治疗组总有效率62.5%,死亡率27%;对照组总有效率28.6%,死亡率64.2%。结论侧脑室引流及腰大池脑脊液置换对于外伤性脑室铸型能较快消除血肿,促进脑脊液循环通路的重新建立,是提高预后的有效的救治措施。

Objective To study the effect on comprehensive and conherent treatment for traumatic ventricular mold. Methods A total of 94 patients with traumatic cast ventricle were retrospectively analyzed,48 patients were performed ateral drainage,urokinase infusion,continuous lumbar drainage as the treatment group,46 patients only performed ventricular drainage as the control group,the mortality and clinical efficiency were evaluated. Results The total effective rate and the fatality rate was 62.5% and27% respectively in the treatment group;otherwise in the control group was 28.6% and 64.2% respectively. Conclusion Lateral drainage and lumbar cerebrospinal fluid replacement could quickly clear the hematoma in traumatic intraventricular mold, promote the re-establishment of cerebrospinal fluid circulation path, improve effectively the prognosis.