出血性脑卒中致急性梗阻性脑积水行脑室外引流术治疗 的效果及时机探讨

Effect and Timing of External Ventricular Drainage on Acute Obstructive Hydrocephalus Caused by Hemorrhagic Stroke

目的探讨脑室外引流术治疗出血性脑卒中后急性梗阻性脑积水患者的时机与效果。方法回顾性分析江苏如皋市人民医院2014年4月至2016年12月收治的30例出血性脑卒中患者为研究对象,均行脑室外引流术治疗,观察治疗效果,并分析治疗时机。结果手术成功率为100.00%,术后存活率为100.00%。急性梗阻性脑水肿在形成后6 h内及6~12 h内接受脑室外引流术治疗能达到良好预后。结论出血性脑卒中致急性梗阻性脑积水患者应在发病后12 h内接受脑室外引流术。

Objective To investigate the timing and effect of external ventricular drainage in the treatment of acute obstructive hydrocephalus after hemorrhagic stroke.Methods A total of 30 patients with hemorrhagic stroke treated in our hospital from April 2014 to December 2016 were studied.All patients were treated with external ventricular drainage.The therapeutic effect was observed and the timing of treatment was analyzed.Results The success rate of operation was 100.00%,and the survival rate was 100.00%.The good prognosis of acute obstructive hydrocephalus can be achieved by external ventricular drainage within 6 h and 6~12 h after onset.Conclusion Patients with acute obstructive hydrocephalus after hemorrhagic stroke should receive external ventricular drainage within 12 h after onset.