中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2008年
6期
598-600
,共3页
马增路%刘振波%刘少录%王风聚
馬增路%劉振波%劉少錄%王風聚
마증로%류진파%류소록%왕풍취
脑室出血%中心静脉导管%引流术
腦室齣血%中心靜脈導管%引流術
뇌실출혈%중심정맥도관%인류술
Cerebroventricular hemorrhage%Central venous catheter%Drainage
目的 探讨改良式中心静脉导管腰大池和侧脑室持续交替引流术治疗脑室出血的疗效.方法 将118例脑室出血患者随机分成2组,改良组(59例)采用改良式中心静脉导管腰大池和侧脑室持续交替引流术,传统组(59例)应用传统腰椎穿刺术结合侧脑室引流.结果 改良组3例(5.1%)死亡,7例(11.9%)发生梗阻性脑积水;传统组8例(13.6%)死亡,15例(25.4%)发生梗阻性脑积水.改良组脑室出血清除速度显著快于传统组(P＜0.01);改良组疗效也明显优于传统组(P＜0.05).结论 改良式中心静脉导管腰大池和侧脑室持续交替引流术治疗脑室出血可明显降低患者的病死率和伤残率,减少并发症和后遗症.
目的 探討改良式中心靜脈導管腰大池和側腦室持續交替引流術治療腦室齣血的療效.方法 將118例腦室齣血患者隨機分成2組,改良組(59例)採用改良式中心靜脈導管腰大池和側腦室持續交替引流術,傳統組(59例)應用傳統腰椎穿刺術結閤側腦室引流.結果 改良組3例(5.1%)死亡,7例(11.9%)髮生梗阻性腦積水;傳統組8例(13.6%)死亡,15例(25.4%)髮生梗阻性腦積水.改良組腦室齣血清除速度顯著快于傳統組(P＜0.01);改良組療效也明顯優于傳統組(P＜0.05).結論 改良式中心靜脈導管腰大池和側腦室持續交替引流術治療腦室齣血可明顯降低患者的病死率和傷殘率,減少併髮癥和後遺癥.
목적 탐토개량식중심정맥도관요대지화측뇌실지속교체인류술치료뇌실출혈적료효.방법 장118례뇌실출혈환자수궤분성2조,개량조(59례)채용개량식중심정맥도관요대지화측뇌실지속교체인류술,전통조(59례)응용전통요추천자술결합측뇌실인류.결과 개량조3례(5.1%)사망,7례(11.9%)발생경조성뇌적수;전통조8례(13.6%)사망,15례(25.4%)발생경조성뇌적수.개량조뇌실출혈청제속도현저쾌우전통조(P＜0.01);개량조료효야명현우우전통조(P＜0.05).결론 개량식중심정맥도관요대지화측뇌실지속교체인류술치료뇌실출혈가명현강저환자적병사솔화상잔솔,감소병발증화후유증.
Objective To study the curative effect of continuous alternant drainage surgery on improved central venous catheter cerebellomedullary cistern and continuous alternative drainage of ventricle in treating cerebroventricular hemorrhage.Methods 118 cases of patients with cerebroventricular hemorrhage were randomly divided into two groups:the improve group(n=59)was applied with continuous alternative drainage of ventricle and improved central venous catheter cerebellomedullary cistern,and the control group(n=59)was applied with traditional drainage of ventricle combined with lumbar centesis.Results In the improved group 3 cases(5.1%)died,and 7 cases(11.9%)developped with obstructive waterhead.In control group 8 cases(13.6%)died,and 15 cases(25.4%)developped with obstructive waterhead.The cleanup speed of cerebroventricular hemorrhage for patients in the improved group was much faster than that in the control group(P＜0.01).The curative effect of the improved group was distinctly better than that of the control group(P＜0.05).Conclusion Cerebroventricular hemorrhage treated by continuous alternative drainage of ventricle and the improved central venous catheter cerebellomedullary cistern and and continuous alternative drainage of ventricle can distinctly reduce mortality,deformity,complication and sequelae.
