腰池持续引流治疗外伤性蛛网膜下腔出血  

Lumbar Cistern Continued Draiange for the Treatment of Traumatic Subarachnoid Hemorrhage

作　　者：郭西文[1] 

机构地区：[1]菏泽医学专科学校,山东菏泽274030

出　　处：《菏泽医学专科学校学报》2003年第2期1-2,共2页Journal of Heze Medical College

摘　　要：目的 探讨腰池持续引流术治疗外伤性珠网膜下腔出血的方法及效果。方法 46例外伤性蛛网膜下腔出血患者行腰池持续引流作为治疗组,另外 46例行间断腰穿放液治疗作为对照组,进行疗效观察,所获数据经X^2,t检验。结果 治疗组与对照组脑脊液中红细胞消失时间分别为6.5±2.9天和10±3.7天(P<0.001),引流3天后颅内压增高发生率分别为13.05％和39.13％(P<0.01)。预后良好率分别为52.78％和29.73％(P<0.05)。结论 腰池持续引流术治疗外伤性蛛网膜下腔出血可使之尽早廓清,疗效确切。Objective To study the method and efficacy of lumbar cistern continued drainage (LCCD) in the treatment of traumatic subarachnoid hemorrhage(tSAH). Methods 46 patients with tSAH were treated with LCCD as therapeutic group (TG), other 46 patients as control group (CG) were treated by intermittent lumbar puncture drainage ,then observe the therapeutic efficacyand the data were treated withX2or t tests. Results In TG and CG the time for erythrocyte elimination of cerebral spinal fluid were 6.5 ± 2.9 and 10 ± 3.7 days (P<0.001) .and the rate for intracranial hypertension on 3rd day since the beginning of drainage were 13.05% and 39.13% (P<0.01). The prognosis in TG were superior to CG(P< 0.05). Conclusion LCCD for the treatment of tSAH is a simple、 safe and effective way .

关 键 词：腰池持续引流术/治疗应用 外伤性 蛛网膜下腔出血/治疗 

分 类 号：R743.35[医药卫生—神经病学与精神病学]