早期置管持续外引流治疗创伤性蛛网膜下腔出血的体会  

Continuous external drainage by catheterization in early treatment of traumatic subarachnoid hemorrhage

作　　者：黄程[1] 

机构地区：[1]海南省海口市琼山人民医院,海南海口571100

出　　处：《海南医学院学报》2009年第7期757-758,761,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020090051)~~

摘　　要：目的:探讨早期腰蛛网膜下腔置管持续外引流术治疗创伤性蛛网膜下腔出血后脑血管痉挛的预防和治疗。方法:对30例创伤性蛛网膜下腔出血患者,在控制颅内压治疗的基础上,根据病情程度分别于伤后12～24h行腰蛛网膜下腔置管持续外引流术。结果:经治疗后,30例患者中治愈25例,轻残4例,中残1例。结论:腰蛛网膜下腔置管持续外引流术,可早期清除蛛网膜下腔积血,解除和预防脑血管痉挛因素,提高救治率。Objective： To explore the prevention and treatment of cerebral vasospasm after continuous external drainage by subarachnoid catheterization at early stage. Methods： After controlling intracranial pressure, applied continuous external drainage by subarachnoid catheterization during 12h-24h after injury to 30 cases with traumatic subarachnoid hemorrhage. Results： 25 out of 30 cases were in cure, 4 cases had mild disability and 1 case had moderate disability. Conclusion： Continuous external drainage by subarachnoid catheterization can remove subarachnoid hematocele at earliest, eliminate and prevent the occurrence of cerebral vasospasm, and increase the cure rate.

关 键 词：蛛网膜下腔出血 血管痉挛 引流术 

分 类 号：R743.35[医药卫生—神经病学与精神病学]