高血压性丘脑出血破入脑室患者60例临床观察

目的探讨高血压性丘脑出血破入脑室患者的最佳治疗方法。方法回顾2011年1月至2013年6月在本院神经外科住院治疗高血压丘脑出血破入脑室患者60例，随机分为2组；对照组采用双侧侧脑室钻孔外引流术伴腰池脑脊液外引流治疗，实验组在对照组治疗的基础上联合使用亚低温治疗；观察术后3个月格拉斯哥预后评分(GOS)评分及两组患者治疗后的并发症情况。结果1.术后3个月随访，实验组患者GOS评分明显优于对照组；2.实验组术后严重肺部感染发生率低于对照组(P<0.05)，比较余2组患者比较无差异。结论双侧侧脑室外引流伴腰池脑脊液外引流联合亚低温是治疗高血压丘脑出血破入脑室患者的有效方法。

Objective:To expore the best technique of treating the hypertensive thalamus intraventricular hemorrhage.Methods:Retrospective analysis the60patients of hypertensive thalamus intraventricular hemorrhage in our hospital between January2011and June2013;who were randomly divided into the two groups;control group was operated through Frontal transcortical approach combing with Lumbar cerebrospinal fluid drainage,experimental group was operated through Frontal transcortical approach with Lumbar cerebrospinal fluid drainage,combining with hypothermia.they were assessed accorting to the Glasgow Outcome Scale(GOS)after3months of follow-up.Results:Gos in experiment group is better than that in control group.;the rate of serious pulmonary infection in experimental group is lower than that of control group(P<0.05).Conclusion:Frontal transcortical approach with Lumbar cerebrospinal fluid drainage combing with hypothermia is effective in treating the hypertensive thalamus intraventricular hemorrhage.