脑室出血后延期性脑积水的临床治疗效果分析

Clinical therapeutic effect analysis of delayed hydrocephalus after intraventricular hemorrhage

目的:探讨脑室出血后延期性脑积水的临床治疗效果。方法:收治脑室内出血患者50例,随机分为对照组和观察组,对照组给予非手术治疗,观察组在灌注尿激酶和脑室外引流的基础上,再将生理盐水和尿激酶注入蛛网膜下隙,比较两组治疗效果。结果:观察组延期性脑积水的发生率12%明显低于对照组的36%(P<0.05)。结论:对脑室出血患者治疗时,一定要密切关注患者的脑室血肿量变化,并及时给予针对性治疗,尽量降低延期性脑积水的发生率,确保治疗效果。

Objective:To explore the clinical therapeutic effect of delayed hydrocephalus after intraventricular hemorrhage. Methods:50 patients with intraventricular hemorrhage were selected.They were randomly divided into the control group and the observation group.The control group was given the non operation treatment,and the observation group was given physiological saline and urokinase into the subarachnoid space on the basis of infusion of urokinase and external ventricular drainage,then we compared two groups of treatment effect.Results:In the observation group,the incidence of delayed hydrocephalus of 12% was significantly lower than 36% in the control group(P<0.05).Conclusion:For the treatment of patients with intraventricular hemorrhage,we must pay close attention to changes in patients with intraventricular hematoma volume,and give them timely and targeted therapy,as far as possible to reduce the incidence of delayed hydrocephalus and ensure the treatment effect.