CAJ | 학술논문

目的:探讨高血压脑室铸型出血的综合治疗方法和临床疗效.方法:41例脑室铸型出血患者分别采用单侧或双侧侧脑室外引流术、脑室内尿激酶冲洗、腰穿腰大池置管持续外引流术和药物治疗,随访患者6个月.结果:双侧手术18例患者术后生存16例,术后功能性恢复按ADL分级法:ADL(恢复正常)8例,ADL(生活自理)4例,ADL(需人帮助)4例,死亡2例.单侧手术23例患者术后生存12例,术后功能性恢复按ADL分级法:ADL(恢复正常)2例,ADL(生活自理)5例,ADL(需人帮助)5例,死亡11例.结论:早期脑室外引流,加强脑脊液置换过程中引流管的管理,对围手术期并发症监护得当,可明显降低脑室铸型出血患者病死率.
목적:탐토고혈압뇌실주형출혈적종합치료방법화림상료효.방법:41례뇌실주형출혈환자분별채용단측혹쌍측측뇌실외인류술、뇌실내뇨격매충세、요천요대지치관지속외인류술화약물치료,수방환자6개월.결과:쌍측수술18례환자술후생존16례,술후공능성회복안ADL분급법:ADL(회복정상)8례,ADL(생활자리)4례,ADL(수인방조)4례,사망2례.단측수술23례환자술후생존12례,술후공능성회복안ADL분급법:ADL(회복정상)2례,ADL(생활자리)5례,ADL(수인방조)5례,사망11례.결론:조기뇌실외인류,가강뇌척액치환과정중인류관적관리,대위수술기병발증감호득당,가명현강저뇌실주형출혈환자병사솔.
Objective:Discussion on comprehensive treatment of hypertensive intraventricular hemorrhage of casting method and clinical effect.Methods:41 cases of intraventricular hemorrhage were treated with unilateral or bilateral ventricle drainage,intraventricular urokinase washout,lumbar puncture lumbar cistem tube continuous extermal drainage and drugtherapy,follow up of patients with 6 months. Results: 18 cases of bilateral operation 16 cases surrival after operation,functional recovery after grading by ADL method,return to normal in 8 cases,daily living without help 4 cases,daily living need someone to help in 4 cases,death in 2 cases. 23 cases of unilateral operation 12 cases surrival after operation,functional recovery after grading by ADL method,return to normal in 2.cases,daily living without help 5 cases,daily living need someone to help in 5 cases,death in 11cases.Conclusion:The mortality of patients with total cerebroventricular hemorrhage can be decreased by early externai drainage,the enhanced management during drainage period and the prevention of complications in the perioperative period.