持续腰大池引流术在颅脑外科患者中应用体会  

Application experience of continuous lumbar cistern drainage in craniocerebral surgery patients

作　　者：李佰涛[1] 陈春林[1] 孙杰[1] 陈力行[1] 

机构地区：[1]深圳市宝安区石岩人民医院神经外科,518108

出　　处：《中国现代药物应用》2015年第13期57-58,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨持续腰大池引流术在颅脑外科患者中的应用效果。方法 65例颅脑外科患者,均给予持续腰大池引流术,观察引流成功率、置管时间、引流量、并发症、治愈率等。结果 65例患者均顺利完成引流,其中脑挫裂伤合并外伤性蛛网膜下腔出血平均置管时间为(7.1±1.2)d,平均引流量为(244.2±21.5)ml/d;脑出血后脑水肿平均置管时间为(6.4±1.1)d,平均引流量为(238.5±27.2)ml/d;重型颅脑损伤开颅术后脑水肿平均置管时间为(6.6±1.3)d,平均引流量为(241.6±25.0)ml/d。65例患者术后均缓解临床症状,无并发症的发生,治愈率为100%。结论持续腰大池引流术在颅脑外科患者中治疗效果佳,引流成功率高,有效地缓解病情,值得推广。Objective To investigate the application effect of continuous lumbar cistern drainage in craniocerebral surgery patients. Methods A total of 65 craniocerebral surgery patients received continuous lumbar eistem drainage. Observation was made on drainage success rate, catheterization time, drainage volume, complications and cure rate. Results All the 65 cases received successful drainage, The average catheterization time in cerebral contusion and laceration complicated with traumatic sabarachnoid cavity hemorrhage was （7.1 ± 1.2） d, and the average drainage volume was （244.2 ± 21.5） ml/d. The average catheterization time in encephaledema after cerebral hemorrhage was （6.4 ± 1.1） d, and the average drainage volume was （238.5 ± 27.2） ml/d. The average catheterization time in encephaledema after craniotomy for severe craniocerebral injury was （6.6 ± 1.3） d, and the average drainage volume was （241.6 ± 25.0） ml/d. All the 65 patients had relieved clinical symptoms after operation, without any complications. Their cure rate was 100%. Conclusion Continuous lumbar cistern drainage provides good effect and high drainage success rate in the treatment of craniocerebral surgery patients. This method can effective relieve disease, and it is worth promoting.

关 键 词：颅脑外科 持续腰大池引流术 引流量 

分 类 号：R651.1[医药卫生—外科学]