CT导引下颅内血肿的双针穿刺术与临床研究  

A Clinical Research on CT-Guided Intracranial Hemorrhage Double-Needle Paracentesis

作　　者：李宝然[1] 荣阳[2] 

机构地区：[1]辽宁中医药大学附属二院,辽宁沈阳110034 [2]中国医科大学辽阳中心医院

出　　处：《中外医学研究》2014年第1期41-42,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨挽救脑出血患者生命及最大限度促进肢体功能康复与临床意义。方法:选择出血量大于30 ml,身体无其他疾病,体感诱导电位(SEP)在使用甘露醇后得到改善者,进行CT导引下颅脑穿刺术。结果:术后1周,意识改善明显110例(55%),不明显4例(2%);肢体功能明显改善178例(89%),轻度改善20例,无明显改变1例。6个月临床效果:79%功能基本正常,10%轻度残疾,9%长期卧床,2%死亡。结论:CT导引下颅内血肿穿刺术是一种非常直观有效的血肿消融术,可以发现术中的再出血,可以最大程度挽救患者生命,并可指导脑出血患者进行早期的功能康复锻炼。Objective： To discover the clinical effect of saving the lives of patients with cerebral hemorrhage and facilitating limb functional recovery to the most extent.Method： Using double-needle paracentesis on those whose amount of bleeding was greater than 30 ml, who had no other diseases and whose SEP had been improved after mannitol was used.Result： A week after the paracentesis, significant improvements in consciousness of 110 cases（55%） patients appeared, insignificant improvements of 4 cases（2%）; significant improvements in limb functions of 178 cases（89%） turned up, slight improvements of 20 cases（lO%）, no improvements of 2 cases（l%）.The effect of six-month clinical research is as follows： 79% patients nearly recovered to normal, 10% were slightly disabled, 9% bedridden and 2% died.Conclusion： CT-gulded intracranial hemorrhage double-needle paracentesis is a very intuitive and effective hematoma ablation, and is able to find the re-bleeding in the paracentesis, saves the patients lives to the most extent and guides them to do the early functional rehabilitation exercise.

关 键 词：脑出血 CT导引 穿刺术 影像诊断 

分 类 号：R743.34[医药卫生—神经病学与精神病学]