腰大池持续外引流术在脑出血治疗中的应用

Application of continued lumbar cerebrospinal fluid drainage in brain hemorrhage

脑出血有较高的发病率、致残率及病死率。脑出血后,及时清除积血、缓解出血对脑组织的继发性损害,及早预防并发症,具有重要的临床意义。腰大池置管持续外引流术(CLCFD)应用腰椎穿刺的方法向脊髓蛛网膜下腔置入引流管以持续引流脑脊液,具有微创、密闭、稳压、充分、持续微量引流等特点,能减少继发性损害、预防并发症。本文通过整理近年来的脑出血后CLCFD治疗脑室积血、蛛网膜下腔出血、颅内感染、脑脊液漏、脑积水等相关文献资料,探讨CLCFD在脑出血后相关并发症的预防治疗中的作用。

Brain hemorrhage has a relatively high incidence,disability rate,and fatality rate.After brain hemorrhage,timely elimination of accumulated blood,alleviation of the secondary damage to brain tissue caused by bleeding,and early prevention of complications have significant clinical implications.The continued lumbar cerebrospinal fluid drainage(CLCFD)employs the method of lumbar puncture to insert a drainage tube into the subarachnoid space of the spinal cord for continuous drainage of cerebrospinal fluid.It features minimally invasive,closed,stable pressure,sufficient,continuous,and micro-drainage,and can reduce secondary damage and prevent complications.By collating the relevant literature on the treatment of intraventricular hemorrhage,subarachnoid hemorrhage,intracranial infection,cerebrospinal fluid leakage,hydrocephalus,and other conditions after cerebral hemorrhage in recent years,this paper explores the role of CLCFD in the prevention and treatment of related complications after brain hemorrhage.