急性梗阻性脑积水39例急救  

First aid in acute obstructive hydrocephalus

作　　者：赵宪林[1] 刘国军[1] 杜敬华[1] 关永昌[1] 

机构地区：[1]中国医科大学附属第四医院,110032

出　　处：《辽宁医学杂志》2011年第4期174-176,共3页Medical Journal of Liaoning

基　　金：辽宁省教育厅课题;编号:2008857

摘　　要：目的介绍急性梗阻性脑积水急诊救治方法及临床效果。方法 各种原因引起的急性梗阻性脑积水患者39例,应用YL-1型一次性使用颅内血肿粉碎穿刺针做额角穿刺进行紧急脑室外引流术,统计穿刺成功率,手术前后应用GCS评价昏迷指数变化。结果患者穿刺成功率为100%,脑室外引流术后GCS昏迷指数提高2分。结论应用YL-1型一次性使用颅内血肿粉碎穿刺针做额角穿刺脑室外引流是目前最方便、快捷、有效的方法,为患者进一步诊治赢得宝贵时间,建议推广使用。Objective To introduce the emergency department with acute obstructive hydrocephalus of treatment methods and clinical results.Methods Various causes of acute obstructive hydrocephalus in 39 patients,application YL-1 type of intracranial hematoma needle puncture to do emergency ventricular external drainage,statistical success rate,surgical evaluation before and after coma GCS index changes.Results Puncture successful rate were 100%,GCS Increase by 2 points after ventricular drainage.Conclusions YL-1 type of intracranial hematoma needle puncture to do emergency ventricular external drainage,fast and effective method for patients to win precious time for further consultation,it is recommended to promote the use.

关 键 词：急性梗阻性脑积水 脑室外引流术 急诊急救 

分 类 号：R651.11[医药卫生—外科学]