脑脊液引流置换治疗重型脑出血

Treatment of Severe Cerebral Hemorrhage by Side Chamber Drainage Cerebral Fluid Replace

目的 探讨重型脑室出血的有效治疗方法。 方法 采用侧脑室外引流尿激酶灌注溶解引流及腰穿脑脊液置换对 2 1例重型脑室出血的患者进行治疗。 结果 2 1例重型脑室出血患者抢救成功率90 5 % ,死亡率 9 5 % ,存活患者随访ADLⅠ级 6 4 % ,ADLⅡ级 2 1% ,ADLⅢ级 14 %。

Objective explore the effective therapy for severe cerebral chamber bleeding. Methods treat 21 patients by adopting side cerebral chamber drainage urokinase instill dissolve drainage and lumbar puncture cerebral fluid replace.Results among 21 cases, the rescue sucess rate is 90.5%, mortality 9.5% surviver patients follow-up ADL I grade 64%, ADL Ⅱ grade 21%, ADL Ⅲ grade 14%. Conclusion This method is an effective and safe method for severe cevebral chamber hemorhage.