脑室铸型出血63例诊疗体会  

Experience of diagnosis and treatment for intraventricular hemorrhage of casting form in 63 patients

作　　者：谢树波[1] 蔡玮[1] 杨立业[1] 林小聪[1] 

机构地区：[1]潮州市中心医院神经外科,广东潮州521000

出　　处：《中国伤残医学》2015年第8期13-14,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：分析探讨脑室外引流结合腰大池持续引流治疗脑室铸型出血的疗效。方法：回顾性分析我院神经外科自2009年8月～2014年8月收治63例自发性脑室铸型出血患者早期采取脑室外引流结合腰大池持续引流、积极防治并发症疗效。结果：本组63例患者出院时按日常生活能力（ ADL）分级法：Ⅰ级19例（30．2％）；Ⅱ级21例（33．3％）；Ⅲ级13例（20．6％）；Ⅳ级5例（7．9％）；Ⅴ级2例（3．2％）；死亡1例（1．6％），自动放弃治疗出院2例。存活病人半年内随诊发现脑积水3例，进一步行脑室腹腔分流术。结论：脑室外引流结合腰大池持续引流救治脑室铸型出血的效果确切，简单易行，临床上值得推广。Objective：To approach the effect of the External Ventricular Drainage （ EVD） plus External Drainage of Lumbar Cistern （ EDLC） applying to the Intraventricular Hemorrhage of Casting Form （ IHCF） .Methods：Retrospective study the effect of 63 spontaneity IHCF patients with treatment of EVD plus EDLC and adopting active measures to the complications in our neurosurgery department for au-gust 2009 to august 2014.Results：According to the Activities of Daily Living （ADL） index：level I 19cases （30.2%）, level II 21 cases （33.3%）, level III 13 cases （20.6%）, level IV 5 cases （7.9%）, level V 2 cases （3.2%）, death 1 cases （1.6%）,abandoning treatment 2 cases.3 patients among the living clients were found having hydrocephalus and undergoing ventriculoperitoneal shunt during the follow-up period.Conclusion：It should possess of popularization and application value to apply EVD plus EDLC to IHCF which is simple and practical, effective and reliable.

关 键 词：脑室铸型出血 脑室外引流 腰大池持续引流 

分 类 号：R743.34[医药卫生—神经病学与精神病学]