侧脑室外引流及脑脊液净化治疗全脑室铸型出血的围手术期对策  

Perioperative strategy for treatment of intraventricular hemorrhage with casting with both drainage of cerebral ventricle and purification of cerebrospinal fluid

作　　者：李伯恩[1] 杨斌[1] 王玉祥[1] 

机构地区：[1]安徽省蚌埠市第三人民医院重症监护治疗病房,233000

出　　处：《蚌埠医学院学报》2007年第1期56-59,共4页Journal of Bengbu Medical College

基　　金：安徽省蚌埠市科委资助项目[蚌科计(98)第16号]

摘　　要：目的：探讨侧脑室外引流及脑脊液净化治疗全脑室铸型出血的围手术期治疗措施。方法：34例在局麻下行侧脑室前角穿刺术，术后4—6h观察引流管无新鲜出血后，将尿激酶1万U或2万U用0．9％氯化钠注射液（生理盐水）稀释至4ml，注入脑室系统。结果：病死11例，重残6例，中残3例，良好14例。结论：早期脑室外引流，加强脑脊液置换过程中引流管的管理，对围手术期并发症监护得当，可明显降低全脑室铸型出血患者病死率。Objective：To investigate the perioperative strategy for treatment of cerebroventricular hemorrhage with casting with both the drainage of cerebroventricle and the purification of cerebrospinal fluid. Methods： Thirty-four patients underwent bilateral or unilateral external cerebroventricular drainage and the purification of cerebrospinal fluid. The urokinase of 10 000 or 20 000 units in 4 ml normal saline was injected into the cerebroventricular system 4 to 6 hours after no fresh blood was found in the drainage tube. Results： Eleven died,6 had severe disability,3 moderate disability, and 14 good recovery. Conclusions： The mortality of patients with total cerebroventricular hemorrhage can be decreased by early external drainage,the enhanced management during drainage period and the prevention of complications in the perioperative period.

关 键 词：脑出血 引流术 脑脊液净化 围手术期 

分 类 号：R743.34[医药卫生—神经病学与精神病学]