未昏迷的高血压脑出血合并脑室出血患者的救治  

Treatment for non-comatose patients with hypertensive intracerebral hemorrhage combined with intraventricular hemorrhage

作　　者：樊天禹[1] 向鹏[1] 傅迎旭[1] 邓一平[1] 龚勇[1] 石中辉[1] 

机构地区：[1]长沙市中心医院神经外科,湖南长沙410004

出　　处：《中国现代医学杂志》2015年第5期106-110,共5页China Journal of Modern Medicine

摘　　要：目的对未昏迷的高血压脑出血(HICH)合并脑室出血患者实施脑室外引流并配合纤维蛋白溶解药物治疗,对比传统的药物治疗方案,分析其疗效差别,为患者提供最佳的治疗方案。方法将患者分为两组,每组20例,实验组实施脑室外引流术并配合纤维蛋白溶解药物治疗及常规治疗;对照组只进行常规药物治疗。比较两组术后180 d改良的Rankin量表评分。结果实验组改良的Rankin量表评分明显优于对照组。结论对于未昏迷的HICH合并脑室出血患者实施脑室外引流并配合纤维蛋白溶解药物治疗能明显降低致残率,改善预后。【Objective】 To perform external ventricular drainage together with fibrinolytic therapy in the patients with hypertensive intracerebral hemorrhage（HICH） combined with intraventricular hemorrhage without a coma, and to compare its efficacy to that of the traditional conservative drug treatment options, in order to provide the best treatment plans for these patients. 【Methods】 For the 20 cases in the experimental group,external ventricular drainage together with fibrinolytic therapy and conventional treatment were performed. For the 20 cases in the control group, only conventional conservative drug treatment was performed. Postoperative modified Rankin scale scores of these two groups taken 180 days after surgery were compared. 【Results】 The modified Rankin scale score of the experimental group was significantly better than that of the control group.【Conclusions】 In the HICH patients with combined intraventricular hemorrhage who have not been in a coma, the application of external ventricular drainage together with fibrinolytic therapy can significantly reduce the disability rate and improve the prognosis.

关 键 词：脑室内出血 脑室外引流 高血压脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]