老年全脑室出血铸型的治疗分析  

Treatment of elderly total ventricular cast form hemorrhage patients

作　　者：库洪彬 王双豹 石素真 孟志勇 孟建红 邓一洁 冯国强 汪丽珍 

机构地区：[1]邢台市第三医院神经外一科,054000 [2]邢台医专第二附属医院护理部

出　　处：《中华老年心脑血管病杂志》2015年第2期170-173,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨第四脑室软通道引流在老年全脑室出血铸型治疗中的应用价值。方法选择全脑室出血铸型患者115例,分为实验组58例,采取双侧侧脑室软通道引流,随即行立体定向四脑室软通道引流手术治疗;对照组57例,行双侧侧脑室软通道引流,随即行腰大池持续引流,对比2组患者治疗效果,评价第四脑室软通道引流在老年全脑室出血铸型治疗中的应用价值。结果实验组病死率17.2%,对照组病死率为31.6%,实验组有效率44.8%,对照组有效率28.1%,2组比较差异有统计学意义(P<0.05)。结论第四脑室软通道引流联合双侧脑室软通道引流可改善老年全脑室出血铸型患者预后。Objective To study the value of the fourth ventricular soft tunnel drainage in treatment of elderly total ventricilar cast form hemorrhage patients. Methods One hundred and fifteen elderly total ventricilar cast form hemorrhage patients were divided into experimental group （n=58） and control group （n=57）. Patients in experimental group underwent bilateral ventriclar soft tunnel drainage followed by the fourth ventricular soft tunnel drainage during stereotaetic surgery and those in control group underwent bilateral ventriclar soft tunnel drainage followed by lumbar continuous drainage. Their therapeutic effects were compared. The value of the fourth ventricular soft tunnel drainage in treatment of elderly total ventricilar cast form hemorrhage patients was as sessed. Results The mortality was 17.2% in experimental group with an effective rate of 44.8% and 31.6% in control group with an effective rate of 28.1% （P〈0.05）. Conclusion The fourth ventricular soft tunnel drainage combined with bilateral ventricle soft tunnel drainage can improve the outcome in elderly total ventricilar cast form hemorrhage patients.

关 键 词：脑出血 引流 体位 体层摄影术 X线计算机 预后 格拉斯哥预后评分 

分 类 号：R651.1[医药卫生—外科学]