早期脑脊液置换治疗原发性蛛网膜下腔出血38例临床分析

Clinical analysis of 38 cases of primary subarachnoid hemorrhage treated by early cerebrospinal fluid replacement

目的:探讨早期脑脊液置换治疗原发性蛛网膜下腔出血(SAH)的临床效果。方法:收治原发性SAH患者76例,随机分成观察组和对照组。对照组采用常规治疗,观察组在对照组基础上加用早期脑脊液置换,比较两组治疗效果。结果:观察组头痛、呕吐、意识障碍消失时间和并发症发生率均显著优于对照组(P<0.05)。结论:早期脑脊液置换治疗原发性SAH并发症少,患者恢复快。

Objective:To explore the clinical effect of primary subarachnoid hemorrhage treated by early cerebrospinal fluid replacement.Methods:76 patients with primary subarachnoid hemorrhage were selected,they were randomly divided into the observation group and the control group.The control group was treated with routine treatment,the observation group added with early cerebrospinal fluid replacement on the basis of the control group,we compared the therapeutic effect of the two groups.Results:In the observation group,the time of disappearance of headache and vomiting,the time of disappearance of consciousness and the incidence of complications were significantly better than those in the control group(P<0.05).Conclusion:Early cerebrospinal fluid replacement for primary subarachnoid hemorrhage had fewer complications,and the patient's recovery was fast.