Ommaya囊联合侧脑室外引流治疗高血压脑室出血  

Ommaya Reservoir Combined with External Ventricular Drainage for Intraventricular Hemorrhage in the Patients with Hypertension

作　　者：张合亮[1] 马廉亭[1] 刘美利[2] 

机构地区：[1]广州军区武汉总医院神经外科,湖北武汉430070 [2]滨洲医学院附属医院神经外科,滨洲256603

出　　处：《中国临床神经外科杂志》2008年第9期536-538,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨高血压脑室出血的治疗方法并评价其临床疗效。方法对17例高血压脑室出血患者采用Ommaya囊联合侧脑室外引流并早期注入尿激酶治疗。结果存活14例,死亡3例。有效随访14例,随访时间3～6月,其中恢复良好4例,中残6例,重残3例,植物生存1例。结论Ommaya囊联合侧脑室外引流并早期注入尿激酶治疗高血压脑室出血具有操作简单、并发症相对较少的优点,是治疗高血压脑室出血的一种新的有效方法。Objectives To study the method to treat intraventricular hemorrhage and to evaluate the therapeutic effect on intraventricular hemorrhage in the patients with hypertension. Methods Seventeen patients with hypertensive intraventricular hemorrhage were treated by Ommaya reservoir combined with external ventrieular drainage and intraventricular injection of urokinase. Results Of 17 patients with hypertensive intraventricular hemorrhage, 3 died and 14 survived. Of the 14 survivals who were followed up from 3 to 6 months, 4 were recovered well, 6 moderately disabled, 3 seriously disabled, and 1 vegetatively survived according to GOS. Conclusion Ommaya reservoir combined with external ventricular drainage is a convenient and effective method to treat hypertensive intraventricular hemorrhage.

关 键 词：OMMAYA囊 脑室出血 脑室外引流 高血压 

分 类 号：R544.1[医药卫生—心血管疾病] R743.34[医药卫生—内科学]