摘要
目的 探讨微创治疗对降低高血压性脑室型丘脑出血患者病死率和致残率的意义。方法 Ⅰ～Ⅲ级高血压性脑室型丘脑出血患者 76例 ,均行单侧脑室外引流和反复腰穿治疗。结果 存活 6 6例 ,其中6 7.1%恢复生活自理 ,死亡 10例 (13.2 % )。结论 以脑室外引流加腰穿微创治疗高血压性脑室型丘脑出血 ,可降低病死率、病残率。提出了单侧脑室引流 ,不可减压过快 。
Objective To explore the significance of minimally invasive management to the mortality and disability rate of hypertensive thalamic hemorrhage of ventricular type.Methods 76 cases suffering from hypertensive thalamic hemorrhage of ventricular type from grade Ⅰ to Ⅲ undertook hemi ventricular extradrainage and lumbar puncture.Results In 66 survived patients,67.1% recovered while 10 cases died(13.2%).Conclusion Ventricular extradrainage and lumbar puncture can reduce the mortality and disability rate of hypertensive thalamic hemorrhage of ventricular type.Decompression during ventricular drainage should be slower and extension of drainage time should be as required.
出处
《中国综合临床》
北大核心
2004年第5期429-430,共2页
Clinical Medicine of China
关键词
高血压
丘脑出血
脑室出血
脑室外引流
Hypertension
Thalamic hemorrhage
Ventricular hemorrhage
Extraventricular drainage
