重度脑室内出血的综合治疗  

Comprehensive Treatment of Severe Intraventricular Hemorrhage

作　　者：阙思伟[1] 计绍云[1] 贾若飞[1] 

机构地区：[1]湖南省常德市第一人民医院神经外科,湖南常德415003

出　　处：《医学临床研究》2006年第5期723-724,727,共3页Journal of Clinical Research

摘　　要：【目的】探讨重度脑室出血的治疗方法,降低重度脑室出血的死残率。【方法】对重度脑室出血的病例行双侧脑室插管尿激酶持续冲洗、腰池持续引流及显微手术治疗。【结果】本组22例重度脑室出血病人,存活18例,死亡3例,治疗过程中因经济原因放弃治疗1例。有效率85.7%,2例病人因交通性脑积水行脑室腹腔分流。【结论】及早疏通脑室系统梗阻是脑室出血的治疗关键,双侧脑室插管尿激酶持续冲洗、腰池引流及开颅手术治疗重度脑室出血是积极有效的方法。[Objective]To evaluate the therapeutic methods of severe intraventricular hemorrhage（IVH）, for reducing the rate of death and disability. [Methods]Bilateral external ventricular drain （LEVD） in combination with infusion of urokinase, continuous lumbar drainage and microscopic operation were used on patients with severe IVH. [Results]The clinical data of 22 patients with severe intraventricular hemorrhage were analyzed retrospectively. Eighteen cases survived, 3 cases died, 1 case gave up treatment because of economic cause. Efficient rate was 80.90%. [Conclusion]It is the key to the success of treatment for IVH to drain the intraventricular obstruction and improve the CSF flow and periventricular microcirculation in the earlier period. Bilateral external ventricular drains in combination with infusion of urokinase, continual lumbar drainage and operation treatment are relatively easy and safe methods of the treatment for IVH and can effectively improve its prognosis.

关 键 词：脑出血/治疗 脑室 

分 类 号：R743.34[医药卫生—神经病学与精神病学]