急诊微创侧脑室穿刺引流术在脑室积血中的应用  

Application of the emergent centesis in treatment 58 cases with ventricle hematocele

作　　者：邓永兵[1] 邹胜伟[1] 刘科[1] 朱政鸣[1] 

机构地区：[1]重庆市急救医疗中心神经外科,400014

出　　处：《重庆医学》2005年第11期1633-1634,共2页Chongqing medicine

摘　　要：目的探讨急诊微创侧脑室穿刺引流术在脑室积血中的治疗价值。方法对58例因脑室积血而行急诊微创侧脑室穿刺引流术的病例进行回顾性分析。结果58例患者术后2h意识好转38例,GCS评分平均由6分升至8分;术后1d头颅CT复查42例脑室内积血明显减少,均无脑积水征象;58例中41例治愈或好转,病死率24.13%,仅5例发生脑积水。结论微创侧脑室穿刺引流术在脑室积血患者的急诊抢救中安全、有效,可迅速缓解高颅压,使患者度过危险期,手术简单、快捷,适合基层医院。Objective To study the therapeutic value of emergent lateral ventriculopuncture drainage in the treatment ventricle hematocele. Methods Fifty-eight patients with ventricle hematocele treated by lateral ventriculopuncture drainage were analyzed retrospectively. Results At the postoperative 2h the consciousness of 38 cases became well obviously and their GCS scores were from 6 to 8; the cephalon CT of the first day after operation indicated that the ventricle hematocele in 42 cases was cleaned out, the hydrocephalus did not happen;Fourty-one cases 58 patients were healed or became well, the fatality rate was 24.13%, just only 5 patients appeared the hydrocephalus symptom. Conclusion Emergent lateral ventriculopuncture drainage can be a safe and effective method to treat ventricle hematocele. It can reduce the high intracranial pressure rapidly and should be worth popularizing.

关 键 词：脑室积血 侧脑室穿刺引流术 颅内高压 

分 类 号：R651[医药卫生—外科学]