侧脑室外引流及脑脊液净化治疗全脑室铸型出血46例分析  

Analysis of 46 Cases of Total Intraventricular Hemorrhage of Casting From Treated with Lateral Ventricle External Drainage and Purification of Cerebrospinal Fluid

作　　者：陈春林 康晓明 

机构地区：[1]广东省深圳市石岩人民医院,518108

出　　处：《医学理论与实践》2011年第14期1631-1633,共3页The Journal of Medical Theory and Practice

摘　　要：目的：探讨侧脑室外引流及脑脊液净化治疗全脑室铸型出血的围手术期治疗措施。方法：46例在局麻下行侧脑室前角穿刺术,术后4~6h观察引流管无新鲜出血后,将尿激酶1~2万U用0.9%氯化钠注射液（生理盐水）稀释至4ml注入脑室系统。结果：死亡16例,重残9例,中残8例,良好13例。结论：早期脑室外引流,加强脑脊液置换过程中引流管的管理,对围手术期并发症监护得当,可明显降低全脑室铸型出血患者病死率。Objective：To investigate the perioperative strategy for treatment of cerebroventricular hemorrhage with casting with both the drainage of cerebroventricle and the purification of cerebrospinal fluid.Methods：46 cases underwent bilateral orunilateral external cerebroventricular drainage and the purification of cerebrospinal fluid.The urokinase of 10 000 or 20 000 units in 4ml normal saline was injected into the cerebroventricular system 4 to 6 hours after no fresh blood was found in the drainage tube.Results：16 cases died,9 cases had severe disability,8 cases moderate disability,and 13 cases good recovery.Conclusion：The mortality of patients with total cerebroventricular hemorrhage can be decreased by early external drainage,the enhancedmanagementduring drainage period and the prevention of complications in the perioperative period.

关 键 词：脑室出血 侧脑室引流 尿激酶 脑脊液置换 

分 类 号：R743.34[医药卫生—神经病学与精神病学]