钻颅穿刺抽吸合并腰椎穿刺排放脑脊液治疗破入脑室的脑出血  

Combined transcranial needle aspiration and lumbar puncture in treatment of intracerebral hemorrhage extending into ventricles

作　　者：何龙泉[1] 王海林[1] 帅正中 

机构地区：[1]合肥市解放军第105医院

出　　处：《中国危重病急救医学》1996年第2期89-91,共3页Chinese Critical Care Medicine

摘　　要：分析了脑出血破入脑室３种治疗方法，在脑实质内血肿量及脑室内积血程度基本相等条件下，结果：钻颅穿刺抽吸合并腰穿脑脊液排放治疗，其病死率显著低于内科保守治疗及开颅手术血肿清除治疗（Ｐ＜０．０５）；而日常生活能力（ＡＤＬⅠ～Ⅲ）又非常显著高于后两组（Ｐ＜０．０１）。提示：钻颅穿刺抽吸合并腰穿脑脊液排放不失为治疗破入脑室的脑出血有效方法之一。作者对该治疗方法的手术指征、时机及操作进行了初步的探讨。Seventy patients with spontaneous intracerebral hemorrhage extending into ventricles were treated in three ways.21patiemts(group A) were treated by transcranial needle aspiration and lumbar puncture(drainage of cerebrospinal fluid),35(group B) with medicines only and 14(group C) by craniotomy.The results showed that the mortality in group A was higher than that in group B and C( P <0.05),and the activity of daily living (ADL)of group A was better than that of group B and C( P <0.02 and<0.01,respectively ).The combined use of transcranial needle aspiration and lumbar puncture is an effective approach to spontaneous intracerebral hemorrhage extending into ventricles.The indication,the appropriate time and the detalis of the procedure are briefly discussed in this article.

关 键 词：CT 钻颅穿刺术 腰椎穿刺术 脑脊液 脑出血 

分 类 号：R743.340.5[医药卫生—神经病学与精神病学]