脑室出血治疗方法的选择

SELECTION OF THE TREATMENT FOR VENTRICULAR HEMORRHAGE

目的 :探讨不同治疗方法对脑室出血的疗效。方法 :根据改良爱丁堡 -斯堪的纳维亚量表 ( MESSS)把 90例病人分为 MESSS<2 5分组及 MESSS≥ 2 5分组 ,分别采取不同的治疗方法 ,对比分析内科保守治疗与不同手术方式治疗的效果。结果 :MESSS<2 5分 ,内科保守治疗即可获得满意疗效 ,与手术治疗无显著性差异 ;MESSS≥ 2 5分 ,需行脑室引流术 ,才能挽救病人生命 ,而双侧脑室引流疗效又优于单侧脑室引流。结论 :对脑室出血病人应根据

Objective:To study the effect of different therapies on ventricular hemorrhage.Methods:According to the score of MESSS,ninety patients with ventricular hemorrhage were divided into two groups,group A(the score<25) and group B(the score≥25).The effects of two different methods (conservative treatment and surgery) was compared in the ninety patients respectively.Results:Group A which only accepted conservative treatment could get satisfied consequence,with no difference between the two methods.Patients in group B were saved only by ventricular drainage with the effect of bilateral drainage superior to that of unilateral one.Conclusion:The selection of treatment for cerebral hemorrhage should be based on score of MESSS.