四脑室出血为主的自发性脑出血的救治  

The treatment of spontaneous intracerebral hemorrhage mainly for fourth ventricle hemorrhage

作　　者：张宏兵[1] 高国栋[1] 王晓峰[2] 李加龙[2] 张坤虎[2] 刘帅[2] 乔育 

机构地区：[1]第四军医大学唐都医院神经外科,西安710000 [2]解放军第三医院神经外科,宝鸡721004

出　　处：《中国实用神经疾病杂志》2015年第6期7-8,共2页Chinese Journal of Practical Nervous Diseases

基　　金：2011年国家"十二五"科技支撑计划课题;课题编号:2011BAI08B05

摘　　要：目的探讨四脑室出血为主的脑出血患者的救治经验。方法回顾分析我院2011-06—2013-02四脑室出血为主的脑出血患者68例,采取保守治疗14例,侧脑室钻孔引流术32例,侧脑室钻孔并后颅窝开颅手术22例。结果术后3个月,按GOS预后评分,预后良好44例,预后不良16例,死亡8例(11.8%)。结论对四脑室出血为主的自发性脑出血患者,采取恰当的治疗,可明显改善病人的预后,提高患者的救治率。Objective To explore the treatment of spontaneous intracerebral hemorrhage mainly for fourth ventricle hem-orrhage.Methods 68 cases with fourth ventricular hemorrhage from June 2011 to February 2013 were analyzed retrospectively , among which 14 cases with conventional treatment ,32 cases with lateral ventricular trepanation ,and 22 cases with lateral ven-tricular trepanation and posterior fossa craniotomy.Results After 3-month surgery ,44 cases were with good prognosis ,16 ca-ses with poor prognosis ,8 cases with death according to GOS score.Conclusion Appropriate treatment should be adopted in patients with fourth intraventricular hemorrhage ,which can sig-nificantly improve the prognosis and increase cure rate.

关 键 词：四脑室出血 保守治疗 侧脑室钻孔引流 开颅手术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]