双管置换治疗急性脑室出血临床疗效观察  

Clinical study on ditube therapeutic method of exchahange in treating acute ivtraventricular hemorrhange

作　　者：王志艺[1] 劳国权[1] 陈宫彪[1] 林松[1] 殷汉贤[1] 翁春良[1] 陈亚钦[1] 刘付群秀[1] 

机构地区：[1]化州市人民医院神经内科,广东省化州525100

出　　处：《中国基层医药》2006年第1期24-25,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨急性脑室出血的有效治疗方法。方法采用脑血肿穿刺引流或单侧侧脑室穿刺引流(对照组29例)和双侧侧脑室置管引流或侧脑室及脑血肿穿刺引流结合腰椎穿刺脑脊液置换(治疗组31例)等方法,对60例急性脑室出血的患者进行治疗。结果治疗组总有效率为74 2%,优于对照组(44 8%)总有效率(P<0 05),并且其血肿清除时间(6d)也明显短于对照组(8d)。结论双管置换疗法是一种安全、有效的治疗急性脑室出血的方法。Objective To investigate the operative methods of treat ivtravenrricular hemorrhange. Methods The 60 cases acure ivtraventrieular hemorrhange patienrs were treated with medical rnethods plus monolateratcerebral biood tumor puncture drainage or monolateral telococle puncture drainage （courrol group 29 cases）, and medical method plus bilateral teloeoele dituble displacemcnt drainage or telocoele and cereloral blood tumor puncture drainage combiuing lumber spine puncture cerebrospinal fluid（csf） therapeutic method of exchange（treatment group 31 cases） etc. Results The total effective rate of the treatment group was 74.2 % ,superior to the toral effective rate 44.8 % of the control group（P〈 0.05）. And the pelared rime of blood rum or of the treatment group（6d） was significantly shorter than that of the control group（8d）. Conclusion The ditube therapeutic method of exchange can be a safe and effective method for acute ivtraventricular hemorrhange.

关 键 词：脑出血 脑脊髓液分流术 急性脑室出血 疗效 双管置换 

分 类 号：R651.12[医药卫生—外科学]