持续腰大池引流在神经外科中的临床应用  

Clinical Application of Continuous Lumbar Cerebrospinal Fluid Drainage in Neurosurgery

作　　者：李彤[1] 顾征[1] 孙永全[1] 赵奇煌[1] 杨云娜[1] 马向科[1] 

机构地区：[1]首都医科大学附属北京朝阳医院神经外科,北京100020

出　　处：《中国神经免疫学和神经病学杂志》2009年第3期206-208,共3页Chinese Journal of Neuroimmunology and Neurology

摘　　要：目的探讨腰大池穿刺持续引流在神经外科中的临床应用。方法回顾性分析2000-01-2008-02采用腰大池引流治疗的332例病例临床资料。结果 153例脑室内残余血患者经初次置管引流全部清除积血(以CT影像为准)141例,其余12例经再次置管积血全部清除;137例蛛网膜下腔出血患者治愈134例;22例脑脊液漏患者全部治愈;20例严重颅内感染患者治愈19例。结论持续腰大池引流治疗脑室内残余血、蛛网膜下腔出血、难治性脑脊液漏及严重颅内感染疗效可靠、安全。Objective To evaluate the clinical application of continuous lumbar cerebrospinal fluid drainage （LCFD） in neurosurgery. Methods The clinical data of 332 patients were retrospectively analyzed from January, 2000 to February 2008 treated with lumbar drainage. Results Among 153 patients with residual hematoma in cerebral ventricles, it was completely cleared in 141 patients after initial catheter drainage （based on CT images）, while it was all cleared by a second time catheter drainage in the other 12 cases, 134 of 137 patients with subarachnoid hemorrhage were cured. 22 patients with cerebrospinal fluid leakage and 19 of 20 patients with serious intracranial infection were cured. Conclusions The continuous lumbar cerebrospinal fluid drainage could achieve safety and reliable curative effects in the treatment of residual hematoma in cerebral ventricles, subarachnoid hemorrhage, refractory cerebrospinal fluid leakage, serious intracranial infection and refractory intracranial hypertension.

关 键 词：持续腰大池引流 脑出血 蛛网膜下腔出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R743.35[医药卫生—临床医学]