摘要
目的:探讨钻颅双管引流治疗重症高血压性脑出血破入脑室的疗效。方法:对1999-2006年行钻颅双管引流治疗的48例重症高血压性脑出血破入脑室患者的临床特征、手术方法、手术时机及手术效果进行回顾性总结。结果:总有效率为35.4%,发病7 h后手术的有效率明显高于发病7 h内手术的有效率。结论:本方法简便、安全,对脑组织创伤小,再出血机会少,适应证广,随着手术方法的改进和新型纤溶药物的应用,临床效果有望进一步提高。
Objective：We have explored the effect of placing double draining tubes in patients with severe hypertensive intracerebral hemorrhage ruptured into the cerebroventricles. Methods： Forty-eight patients suffered from severe hypertensive intracerebral hematoma which ruptured into the cerebroventricles have been treated by placing double draining tubes from 1999 to 2006. The clinical manifestations, operative method, operative time and outcome have been analyzed. Results： The effectiveness rate is 35.4%. The cases on whom the drainage was performed 7 hours after onset showed a more satisfactory improvement than in 7 hours. Conclusion： The proeedure is easy to execute, less likely to injure the hrain and to rebleed, and effective. We suggest that it can be commonly applied to severe cases, in combination with the use of newly developed fibrinolytic drugs.
出处
《神经损伤与功能重建》
2006年第4期210-212,共3页
Neural Injury and Functional Reconstruction
关键词
高血压脑出血
双管引流
hypertensive intraeerebral hemorrhage
dual drainage
