脑室外引流加Ommaya储液囊植入治疗重度脑室内出血  

Treatment of severe intraventricular hemorrhage by external ventricular drainage and implanting of Ommaya reservoir

作　　者：陈晓东[1] 夏鹰[1] 陈伟明[1] 颜山[1] 李友俊[1] 

机构地区：[1]海口市人民医院神经外科,海南海口570208

出　　处：《中国现代医学杂志》2013年第22期89-91,共3页China Journal of Modern Medicine

摘　　要：目的探讨常规脑室外引流加Ommaya储液囊植入在重度脑室内出血治疗中的应用价值。方法海口市人民医院神经外科自2009年以来在43例重度脑室内出血的手术中采用一侧脑室行常规的脑室外引流，对侧行Ommaya储液囊植入备用；常规引流5～7d后改用头皮针穿刺储液囊继续引流。结果43例重度脑室内出血患者均达到预期引流效果。按GOS评价预后：良好15例，轻残12例，重残10例，植物生存2例，死亡4例。结论在重度脑室内出血治疗中，Ommaya储液囊的应用增加了常规脑室外引流的安全性、有效性，减少了颅内感染、脑积水等并发症，改善了预后。[ Objective ] To explore the value of extemal ventricular drainage and Ommaya reservoir for severe in- traventricular hemorrhage. [ Methods ] Unilateral external ventricular drainage was performed in 43 cases diagnosed with severe intraventricular hemorrhage and contralateral Ommaya reservoir was implanted for reservation. After 5-7 days, routine external ventricular drainage was suspended and Ommaya reservoir was punctured subcutaneously by scalp needled for alternative drainage. [Results ] Drainage effect was satisfied in all 43 cases and outcome was graded according to GOS scale as following： favorable： 15, mild disability： 12, severe disability： 10, vegetative： 2, death： 4. [ Conclusions ] Ommaya reservoir contributed to safe and effective external intraventricular drainage and improved prognosis by reducing complications including intracranial infection and hydrocephalus.

关 键 词：脑室内出血 脑室外引流 储液囊 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]