CAJ | 학술논문

目的探讨脑室穿刺加腰椎穿刺脑脊液置换治疗脑室出血铸型的疗效.方法在双侧侧脑室前角穿刺持续外引流及尿激酶灌注的基础上,进行腰椎穿刺脑脊液置换术并注入尿激酶治疗脑室出血铸型34例(治疗组),与内科常规治疗30例(对照组)进行对照分析.结果治疗组脑室通畅时间、脑脊液正常时间、神志转清时间、住院天数均较对照组明显缩短(P<0.01),再出血发生率(8.82%)较对照组(10.00%)无统计学意义(P>0.05),病死率(20.60%)较对照组(80.00%)显著下降(P<0.01),治愈率(44.10%)较对照组(6.70%)显著提高(P<0.01),存活病例致残率(44.40%)较对照组(66.70%)低(P<0.05),迟发性脑积水(7.40%)较对照组(33.30%)显著下降(P<0.01).结论在双侧侧脑室前角穿刺持续外引流及尿激酶灌注的基础上,进行腰椎穿刺脑脊液置换术并注入尿激酶,是救治脑室出血铸型患者的一种积极、有效、简便的方法.
목적 탐토뇌실천자가요추천자뇌척액치환치료뇌실출혈주형적료효.방법 재쌍측측뇌실전각천자지속외인류급뇨격매관주적기출상,진행요추천자뇌척액치환술병주입뇨격매치료뇌실출혈주형34례(치료조),여내과상규치료30례(대조조)진행대조분석.결과 치료조뇌실통창시간、뇌척액정상시간、신지전청시간、주원천수균교대조조명현축단(P<0.01),재출혈발생솔(8.82%)교대조조(10.00%)무통계학의의(P>0.05),병사솔(20.60%)교대조조(80.00%)현저하강(P<0.01),치유솔(44.10%)교대조조(6.70%)현저제고(P<0.01),존활병례치잔솔(44.40%)교대조조(66.70%)저(P<0.05),지발성뇌적수(7.40%)교대조조(33.30%)현저하강(P<0.01).결론 재쌍측측뇌실전각천자지속외인류급뇨격매관주적기출상,진행요추천자뇌척액치환술병주입뇨격매,시구치뇌실출혈주형환자적일충적겁、유효、간편적방법.
Objective To observe the therapeutic effect of intraventricular puncture and purification of cerebrrospinal fluid with spinal puncture for treatment of intraventricular hemorrhage casting. Methods Thirty-four cases of intraventricular hemorrhage casting received continuous drainage and urokinase lavage, plus intraventricular puncture and purification of cerebrrospinal fluid with spinal puncture. Meanwhile, 30 cases, as the control group,had routine conservative therapy, Results Ventricle patency time, cerebrospinal fluid normalization time,consciousness recovery time and hospitalization in the therapy group were significantly shorter than the control group.Re-bleeding rate in the therapy group showed no difference from control group. Mortality, morbidity and late hydrocephalus in the therapy group were significantly lower than the control group. Curative rate in the therapy group was significantly higher than the control group. Conclusion Intraventricular puncture and purification of cerebrrospinal fluid with spinal puncture proved to be an effective method for treating intraventricular hemorrhage casting.