应用YL-1型一次性使用颅内血肿粉碎穿刺针急救急性梗阻性脑积水  

FIRST AID IN ACUTE OBSTRUCTIVE HYDROCEPHALUS BY YL-1 TYPE OF INTRACRANIAL HEMATOMA NEEDLE PUNCTURE

作　　者：赵宪林[1] 姜宏舟[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神经外科,沈阳110032

出　　处：《现代预防医学》2012年第4期1011-1012,共2页Modern Preventive Medicine

基　　金：辽宁省科学技术计划项目课题(2011225020)

摘　　要：[目的]介绍急性梗阻性脑积水急诊救治方法并探讨临床应用效果。[方法]各种原因引起的急性梗阻性脑积水43例患者,应用YL-1型一次性使用颅内血肿粉碎穿刺针做额角穿刺并进行紧急脑室外引流术,统计穿刺成功率,并于手术前后采用格拉斯哥昏迷评分GCS来评价昏迷指数的变化。[结果]患者穿刺成功率100%,穿刺后1～2min见脑脊液流出,脑室外引流术后GCS昏迷指数提高2分。[结论]YL-1型一次性使用颅内血肿粉碎穿刺针可有效、快捷地通过额角穿刺来进行脑室外引流,不仅穿刺成功率较高,而且可改善患者术后的昏迷状态,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]43 patients with acute obstructive hydrocephalus by various reasons,YL-1 type of intracranial hematoma needle puncture was applied to do emergency ventricular external drainage,statistical success rate,surgical evaluation before and after coma GCS index changes.[Results]Puncture successful rate was 100%.The Cerebrospinal fluid flowed after forehead piercing for1 or 2 minute,and GCS increased by 2 points after ventricular drainage.[Conclusion]YL-1 type of intracranial hematoma needle puncture could perform emergency ventricular external drainage,fast and effective method for patients to win precious time for further consultation,which is recommended to promote the use.

关 键 词：急性梗阻性脑积水 脑室外引流术 应用效果 急诊急救 

分 类 号：R742.7[医药卫生—神经病学与精神病学]