摘要
目的 观察脑室穿刺引流对老年人各种原因导致的脑室内积血的治疗作用。方法 应用CT定位颅骨锥孔侧脑室前角持续引流术抢救治疗老年人脑室内积血患者201例。结果 201例中，死亡111例，死亡率55．22％。术毕较术前血压明显下降（P〈0．0001），术后第3天较术前昏迷患者明显减少（P〈0．0001），清醒患者较昏迷患者肺部感染的发生率明显下降（P〈0．0001）。结论 本法能迅速降低颅内压，改善意识情况，减少并发症，其死亡率比一般内科治疗降低明显，尤其是对Ⅲ～Ⅳ级患者更为适宜。
Objective To investigate the effective of of external ventricular drainage with primary intraventricular hematoeele. Methods 201 patients with primary intraventrieular haemorrhage who were treated with external ventrieular drainage by CT scans localization were included. Results 111 （55.23%） patients died. Compared with preoperafion , coma, pulmonary infection and high blood pressure were obvious reduced after external ventricular drainage （ P 〈 0.001 ） . Conclusion External ventricular drainage is a life - saving and effective procedure that should be performed in patients who develop primary intraventricular hematocele.
出处
《浙江临床医学》
2006年第8期796-797,共2页
Zhejiang Clinical Medical Journal
关键词
CT定位
脑室引流
脑室内积血
external ventricular drainage primary intraventricular hematocele CT location
