脑室引流注药治疗继发脑积液的结核性脑膜炎  

Treatmentofthesecondaryhydrocphalusoftuberculousmeningitisbylateralvertriculardrainageanddruginjection

作　　者：陈永珊[1,2,3] 常风鸣[1,2,3] 王志明 韩树生 姜忠坤 殷尚炯 

机构地区：[1]解放军第二六二医院 [2]解放军第四七二医院 [3]河北张家口医学院第一附属医院

出　　处：《中华结核和呼吸杂志》1996年第5期297-299,共3页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：目的使继发脑积液的结核性脑膜炎患者颅内压迅速降低并获得治愈。方法于非优势半球的侧脑室额角行脑室引流，并向脑室内注射异烟肼１００ｍｇ加地塞米松２ｍｇ，隔日１次，重者每日１次。结果２３例患者增高的颅内压立即降至正常，其中８例脑疝者均迅速得到纠正。脑室注药使脑脊液在２～４周内恢复正常。结论脑室引流及脑室注药治疗继发脑积液的结核性脑膜炎，疗效满意。OnjectiveTodecreaseintracranialpressurerapidlyandcurethesecondaryhydrocephalusoftuberculousmeningitis.MethodsEverycasewasdrainedatthefrontalhornoflateralventricleofnon-predominantcerebralhemisphere,injectedthemixtureof100mgisoniazidand2mgdexamethasoneintothelateralventriclethroughventriculardrainagetubeonceeverytwodaysoronceeverydayinsomese-verecases.ResultsThehighintracranialpressureof23casessuferedfromtuberculousmeningitiswereimmediatelydecreasedtonormallevel.Thesymptomsof8casescomplicatedwithbrainherniawerequicklyimproved.Thecerebrospinalfluidbecamenormalwithin2～4weeksafterlateralventricu┐lardruginjection.ConclusionsLateralventriculardrainageanddruginjectioncanobtaingoodresultandprovideanewapproachtotreatmentofsecondaryhydrocephaluscasessuferedfromtuberculous-meningitis.

关 键 词：结核性脑膜炎 脑积液 引流 药物疗法 

分 类 号：R529.305[医药卫生—内科学]