中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
46期
31-31,32
,共2页
脑室出血%微创
腦室齣血%微創
뇌실출혈%미창
intraventricular hemorrhage%minimal y invasive
目的：观察微创脑室穿刺引流加腰大池持续外引流术治疗脑室铸型出血的疗效。方法回顾性分析169例脑室铸型出血病人的临床资料，均行额角细锥钻孔置管引流术。术后分别于脑室内及残余血肿腔内灌注尿激酶并定时引流，同时行腰大池持续外引流术[1]。结果随访1年GOS Ⅰ级96例，Ⅱ级34例，Ⅲ级12例，Ⅳ级2例；死亡10例。失访15例。结论该方法可以明显降低脑室铸型出血的死亡率，迅速清除脑室系统及蛛网膜下腔的积血，加快脑脊液正常化，减少脑积水等并发症，提高生存质量。
目的：觀察微創腦室穿刺引流加腰大池持續外引流術治療腦室鑄型齣血的療效。方法迴顧性分析169例腦室鑄型齣血病人的臨床資料，均行額角細錐鑽孔置管引流術。術後分彆于腦室內及殘餘血腫腔內灌註尿激酶併定時引流，同時行腰大池持續外引流術[1]。結果隨訪1年GOS Ⅰ級96例，Ⅱ級34例，Ⅲ級12例，Ⅳ級2例；死亡10例。失訪15例。結論該方法可以明顯降低腦室鑄型齣血的死亡率，迅速清除腦室繫統及蛛網膜下腔的積血，加快腦脊液正常化，減少腦積水等併髮癥，提高生存質量。
목적：관찰미창뇌실천자인류가요대지지속외인류술치료뇌실주형출혈적료효。방법회고성분석169례뇌실주형출혈병인적림상자료，균행액각세추찬공치관인류술。술후분별우뇌실내급잔여혈종강내관주뇨격매병정시인류，동시행요대지지속외인류술[1]。결과수방1년GOS Ⅰ급96례，Ⅱ급34례，Ⅲ급12례，Ⅳ급2례；사망10례。실방15례。결론해방법가이명현강저뇌실주형출혈적사망솔，신속청제뇌실계통급주망막하강적적혈，가쾌뇌척액정상화，감소뇌적수등병발증，제고생존질량。
Objective: To study the methods and evaluate the effect of treatment on intraventricular hemorrhage(TIH) of casting from .Method:Retrospective analysis of 169 cases of intraventricular hemorrhage cast of the clinical data of patients are smal cone dril line brows drainage. Respectively after brain and indoor residual hematoma cavity infusion of urokinase and drainage from time to time, at the same time continuing outside the lumbar drainage [1]. Result:1-year fol ow-up GOS Ⅰ level of 96 cases, Ⅱ level of 34 cases, Ⅲlevel of 12 cases, Ⅳ level 2; the death of 10 cases. 15 cases of defaulters. Conclusion: This method of treatment may drop the dying rate of TIH,rapidly clear the blood inside intraventricular and subrachnoid,improve the purification of cerebrospinal fluid,reduce the incidence of hydrocephalus, improve the quality of life.
