单纯脑室外引流治疗老年高血压性小脑血肿35例分析

Analysis of simple external ventricular drainage in treatment of 35 cases of senile hypertensive cer-ebellar hematoma

目的分析单纯脑室外引流治疗老年高血压性小脑血肿的临床效果。方法老年高血压性小脑血肿病人35例,局麻下行单纯脑室前角穿刺外引流术,评估病人的生存率、住院时间、术后3个月日常生活能力(ADL)。结果 31例存活,住院19~63天,平均29.3天,术后3个月ADLⅠ级18例,Ⅱ级10例,Ⅲ级2例,Ⅳ级1例,Ⅴ级0例,死亡4例。结论单纯脑室前角穿刺外引流治疗老年高血压性小脑血肿创伤小、病人恢复快、可改善病人预后。

Objective To explore the advantages of external ventricular drainage in treatment of senile hypertensive cerebellar hematoma. Methods The clinical data of 35 patients with external ventricular drainage in the treatment of senile hypertensive cerebellar hematoma in local anesthesia were analyzed retrospectively. The livability,hospitalization days,the activity of daily living（ ADL） at 3 postoperative months were evaluated. Results 31 patients were survival. The hospitalization days was between 19 days and 63 days,with an average of 29. 3 days. The level Ⅰ recovery of ADL was in 18 cases,level Ⅱ in 10,level Ⅲ in 2,level Ⅳ in 1,level Ⅴ in 0 and 4 patients died. Conclusion The treatment of senile hypertensive cerebellar hematoma with simple external ventricular drainage has the advantages of fewer traumas,rapid recovery and obviously improvement of the prognosis.