腰大池穿刺加输液泵控制脑脊液持续引流治疗蛛网膜下腔出血(附27例临床报道)  

Treatment of subarachnoid hemorrhage through continuous external lumbar drainage of cerebral spinal fluid and control by infusion pump:report of 27 cases

作　　者：高长根[1] 翟宏江[1] 谭守文[1] 胡文霞[1] 杨运周[1] 方波[1] 

机构地区：[1]六安市人民医院神经内科,237005

出　　处：《安徽医学》2009年第6期640-642,共3页Anhui Medical Journal

摘　　要：目的探讨腰大池穿刺+输液泵控制脑脊液持续引流治疗蛛网膜下腔出血(SAH)的疗效及安全性。方法对27例蛛网膜下腔出血患者进行腰大池穿刺+输液泵控制脑脊液持续引流,观察头痛缓解时间、再出血及脑血管痉挛发生率。结果腰大池穿刺+输液泵控制脑脊液持续引流治疗蛛网膜下腔出血组患者头痛缓解时间、再出血及脑血管痉挛发生率等指标均明显优于单纯内科治疗组,未发生颅内感染等并发症。结论腰大池穿刺+输液泵控制脑脊液持续引流治疗蛛网膜下腔出血具有操作简便易行、疗效可靠、副反应少等优点。Objective To evaluate the treatment effect and safety of subaraehnoid hemorrhage （SAH） through continuous external lumbar drainage of cerebral spinal fluid and control by infusion pump. Methods Total of 27 patients with SAH have been given treatment through continuous external lumbar drainage of cerebral spinal fluid and control by infusion pump between 2007.01 to 2008.06, observed the time frame of headache relieved, the rate of rehemorrhage and cerebral vasospasm （CVS）. Resealts The result is significantly better to treat patients with continuous external lumbar drainage of cerebral spinal fluid and control by infusion pump than the treatment of only vena inject medications, no complications such as intraeranial infection was found. Conclusion The positive features of this treatment of SAH through continuous external lumbar drainage of cerebral spinal fluid and control by infusion pump includes： easy to operate, reliable treatment effect and fewer side-effect.

关 键 词：腰大池脑脊液持续引流 输液泵 蛛网膜下腔出血 

分 类 号：R743.35[医药卫生—神经病学与精神病学]