早期腰大池引流在降低已破裂动脉瘤术后脑积水发生中的作用  

The effect of earlier continued lumbar fluid drainage on decreasing the rate of hydocephalus after rupture-aneurysms clipping

作　　者：彭钢[1] 

机构地区：[1]南京医科大学第二附属医院神经外科,江苏南京210011

出　　处：《中国当代医药》2009年第23期31-32,共2页China Modern Medicine

摘　　要：目的:探讨术后早期放置持续腰大池引流在降低已破裂的动脉瘤夹闭术后脑积水发生中的作用。方法:将术前已破裂的动脉瘤患者30例随机分为3组;术后早期(术后24h内)、晚期(术后24h后)以及对照组(术后一直未放置)行持续腰大池引流,引流时间均为7d。观察各组患者术后1个月时脑积水出现情况并行统计学分析比较。结果:早期组术后脑积水的发生率较晚期组及对照组明显降低,P<0.05。结论:对于术前已破裂的动脉瘤患者夹闭术后早期(术后24h内)放置持续腰大池引流能降低术后脑积水的发生。Objective：To observe the effect of earlier continued lumbar fluid drainage on decreasing the rate of hydocephalus after rupture-aneurysms clipping. Methods：After rupture-aneurysms clipping,earlier（in 24 h after operation ） ,late （out 24 h after operation）continued lumbar fluid drainage and no continued lumbar fluid drainage was applied individually.The rate of hydocephalus in 1 months after operation was observed.Results：Earlier continued lumbar fluid drainage could significantly decrease the rate of hydocephalus than late continued lumbar fluid drainage and the control. Conclusion：Earlier postoperative continued lumbar fluid drainage can decrease the rate of hydocephalus after rupture-aneurysms clipping.

关 键 词：术后早期 持续腰大池引流 破裂动脉瘤 脑积水 

分 类 号：R742.7[医药卫生—神经病学与精神病学]