世界最新医学信息文摘（连续型电子期刊）
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세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
41期
3-4
,共2页
高血压性脑出血%外置管引流治疗%脑室扩大
高血壓性腦齣血%外置管引流治療%腦室擴大
고혈압성뇌출혈%외치관인류치료%뇌실확대
hypertensive cerebral hemorrhage%external straight tube drainage%ventricular enlargement
目的：对比单侧与双侧脑室外置管引流治疗高血压性脑出血破入脑室的疗效。方法选取我院2011年2月~2015年2月收治的高血压性脑出血破入脑室患者176例，进行单侧脑室外置管引流治疗的95例，其中脑室扩大的有46例；进行双侧脑室外置管引流治疗的有81例，脑室扩大的有55例，所有患者在术后均进行了尿激酶冲洗。比较单侧和双侧两组治疗组患者的引流时间、引流管的通畅率、手术损伤以及术后感染情况。结果双侧引流治疗组中有脑室扩大的患者引流时间明显优于单侧引流治疗组，差异有统计学意义(p<0.05)；双侧引流组引流管通畅率也明显高于单侧引流组，差异有统计学意义(P<0.05)；同时，双侧引流组中无脑室扩大患者的引流时间、引流管通畅率比较单侧引流组差异无统计学意义(P>0.05)。结论对于高血压性脑出血破入脑室有脑室扩大的患者进行双侧外置管引流治疗效果较好。
目的：對比單側與雙側腦室外置管引流治療高血壓性腦齣血破入腦室的療效。方法選取我院2011年2月~2015年2月收治的高血壓性腦齣血破入腦室患者176例，進行單側腦室外置管引流治療的95例，其中腦室擴大的有46例；進行雙側腦室外置管引流治療的有81例，腦室擴大的有55例，所有患者在術後均進行瞭尿激酶遲洗。比較單側和雙側兩組治療組患者的引流時間、引流管的通暢率、手術損傷以及術後感染情況。結果雙側引流治療組中有腦室擴大的患者引流時間明顯優于單側引流治療組，差異有統計學意義(p<0.05)；雙側引流組引流管通暢率也明顯高于單側引流組，差異有統計學意義(P<0.05)；同時，雙側引流組中無腦室擴大患者的引流時間、引流管通暢率比較單側引流組差異無統計學意義(P>0.05)。結論對于高血壓性腦齣血破入腦室有腦室擴大的患者進行雙側外置管引流治療效果較好。
목적：대비단측여쌍측뇌실외치관인류치료고혈압성뇌출혈파입뇌실적료효。방법선취아원2011년2월~2015년2월수치적고혈압성뇌출혈파입뇌실환자176례，진행단측뇌실외치관인류치료적95례，기중뇌실확대적유46례；진행쌍측뇌실외치관인류치료적유81례，뇌실확대적유55례，소유환자재술후균진행료뇨격매충세。비교단측화쌍측량조치료조환자적인류시간、인류관적통창솔、수술손상이급술후감염정황。결과쌍측인류치료조중유뇌실확대적환자인류시간명현우우단측인류치료조，차이유통계학의의(p<0.05)；쌍측인류조인류관통창솔야명현고우단측인류조，차이유통계학의의(P<0.05)；동시，쌍측인류조중무뇌실확대환자적인류시간、인류관통창솔비교단측인류조차이무통계학의의(P>0.05)。결론대우고혈압성뇌출혈파입뇌실유뇌실확대적환자진행쌍측외치관인류치료효과교호。
Objective: to compare the effects of unilateral and bilateral ventricle drainage in the treatment of hypertensive cerebral hemorrhage. Methods: in our hospital in 2013 february 2015 february treated hypertensive cerebral hemorrhage patients in 176 cases, unilateral ventricle external drainage tube treatment of 98 cases, which enlarged ventricles with 46 cases; bintraventricular external drainage in patients with 81 cases, enlargement of lateral ventricle with 55 cases, patients after operation were carried out with urokinase. the drainage time, patency rate, surgical injury and infection of the two groups were compared. Results: drainage of bilateral ventricular enlargement in patients with drainage time was signi cantly better than that of unilateral drainage in the treatment group, the difference was statistically signi cant (P<0.05); bilateral group’s drainage tube patency rate was signi cantly higher than that in the unilateral drainage group, the difference is statistically signi cant (P<0.05). Conclusion: the treatment effect of bilateral external drainage is better for patients with hypertensive cerebral hemorrhage to break into the ventricles of the ventricle.
