CAJ | 학술논문

目的：探讨用双侧脑室置管外引流术治疗高血压性丘脑出血破入脑室的临床疗效。方法：回顾性分析2009年1月至2013年6月我院收治的65例高血压性丘脑出血破入脑室患者采用双侧脑室置管外引流术进行治疗的过程及临床疗效。结果：本组患者在进行治疗后，有10例患者死亡，占15.4%；有55例患者存活，占84.6%。对55例存活患者进行3-6个月的随访，并根据ADL巴氏评分表对其进行日常生活能力评定，其中有30例患者（占54.6%）的日常生活能力为“独立及轻度依赖”，有18例（占32.7%）患者的日常生活能力为“中度依赖”，有7例（占12.7%）患者的日常生活能力为“重度依赖及完全依赖”。结论：对丘脑区血肿量小于30ml并出血破入脑室的患者单纯采用双侧脑室置管外引流术进行微创治疗能显著降低其死亡率及存活患者的致残率，提高其生存质量，是一种科学有效的治疗方法。
목적：탐토용쌍측뇌실치관외인류술치료고혈압성구뇌출혈파입뇌실적림상료효。방법：회고성분석2009년1월지2013년6월아원수치적65례고혈압성구뇌출혈파입뇌실환자채용쌍측뇌실치관외인류술진행치료적과정급림상료효。결과：본조환자재진행치료후，유10례환자사망，점15.4%；유55례환자존활，점84.6%。대55례존활환자진행3-6개월적수방，병근거ADL파씨평분표대기진행일상생활능력평정，기중유30례환자（점54.6%）적일상생활능력위“독립급경도의뢰”，유18례（점32.7%）환자적일상생활능력위“중도의뢰”，유7례（점12.7%）환자적일상생활능력위“중도의뢰급완전의뢰”。결론：대구뇌구혈종량소우30ml병출혈파입뇌실적환자단순채용쌍측뇌실치관외인류술진행미창치료능현저강저기사망솔급존활환자적치잔솔，제고기생존질량，시일충과학유효적치료방법。
Objective: To investigate clinical effect and therapeutic experience of ventricular drainage via bilateral lateral ventricle on treatment of hypertensive thalamus hemorrhage ruptured into ventricle. Methods: Analyzing the therapeutic process and clinical effect of 65 cases of hypertensive thalamus hemorrhage ruptured into ventricle from January 2009 to June 2013 who were treated by ventricular drainage via bilateral lateral ventricle. Results: 10 cases died (15.4%), 55 cases survived (84.6%). Evaluation of prognosis with ADL to 55 cases after three to six months. Of which, completely independent or lightly dependent patients were 30 cases (54.6%), medially dependent patients were 18 cases (32.7%) and heavily dependent or completely dependent patients were 7 cases (12.7%). Conclusion: Ventricular drainage via bilateral lateral ventricle was a simple, less trauma and effective method for treating hypertensive thalamus hemorrhage ruptured into ventricle.