双侧脑室外引流术在侧脑室内铸型血肿中的应用  

The application of bilateral external ventricular drainage in the treaUnent of cerebroventricular haemorrhage.

作　　者：华春华 陈国坚[1] 朱道平[1] 卢智[1] 李奕秋 

机构地区：[1]英德市人民医院,广东英德513000

出　　处：《健康大视野（医学版）》2012年第2期133-134,共2页Health Horizon:Medical Science Fascicule

摘　　要：目的前瞻性分析一侧或双侧脑室内铸型血肿病人采取双侧脑室外引流术或单侧侧脑室外引流术的治疗效果。方法将侧脑室铸型血肿病人随机分成两组，一组实行双侧侧脑室外引流术，术后经一侧外引流管注入生理盐水100ml，另一侧引流管流血性脑脊液，每日一次；另一组病人行单侧侧脑室外引流术，术后脑室内不灌注生理盐水。其余治疗方法相同。结果实验组拔管间、脑脊液正常时间、患者清醒时间明显缩短，良好恢复率均高于对照组，致残率和死亡率低于对照组。结论脑室内铸型血肿的疗，双侧侧脑室外引流术优于单侧侧脑室外引流术。Objective prospective analysis the effect of the unilateral and bilateral eerebroventrieular haemorrhage patients treated by the unilate al or bilateral ventrieular drainages. Methods The eerebroventrieular haemorrhage patients random divided into experimental group and control grou experimental group treated by bilateral ventrieular drainage, one external drainage tube injected normal sodium 100ml, the other external drainage tu drain bloody eerebrospinal fuid, once daily, control group treated by unilateral ventrieular drainage, cerebral ventricle did not injected normal sodim Other treatment is the same. Results In experimental group, extubate time is shorten obviously, Good recovery rate is higher eontrol group, death n is lower than control group, P 〈 0.01. Conclusions Bilateral ventrieular drainages treating eerebroventrieular haemorrhage is much better than unilate al ventrieular drainages.

关 键 词：脑室出血 脑室外引流 脑积水 脑脊液 

分 类 号：R743.34[医药卫生—神经病学与精神病学]