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脑室持续外引流术治疗蛛网膜下腔出血的临床研究 被引量:10

The study of continuous ventricular external drainage of cerebrospinal fluid in patients with subarachnoid hemorrhage
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摘要 目的 前瞻性研究脑室持续外引流治疗蛛网膜下腔出血的临床疗效。方法 治疗组病人( 2 6例 )行颅骨钻孔侧脑室内置管持续外引流 3d ,对照组 ( 3 0例 )为内科保守治疗的病人。结果 治疗组无一例死亡 ,对照组死亡 4例 ( 13 % )。治疗组脑积水与脑血管痉挛的发生率为 3 8% ,对照组脑积水与脑血管痉挛的发生率分别为 13 %和 2 0 % ,治疗组疗效明显优于对照组。 Objective The effect of continous ventricular external drainage of cerebrospinal fluid(CSF)on vasospasm and hydrocephalus were analyzed in 26 patients with subarachnoid hemorrhage.Methods 26 patients underwent a procedure for continuous CSF external drainage for 3 days.Results In the treatment group,no patient died,whereas 4 patients (13%)were dead in the control group.The rate of vasospasm and hydrocephalus were 3 8% in treatment group.But in control group the rate of vasospasm and hydrocephalus were 13% and 20% respectively.Conclusion The continuous external drainage of cerebrospinal fluid (CSF) was effective in Subarachnoid hemorrhage.It can be recommended for clinical use.
出处 《中华急诊医学杂志》 CAS CSCD 2002年第2期108-109,115,共3页 Chinese Journal of Emergency Medicine
基金 吉林省卫生厅科研课题 ( 960 0 0 9)
关键词 脑室持续外引流 蛛网膜下腔出血 脑积水 脑血管痉挛 治疗 Continuous ventricular external drainage Subarachnoid hemorrhage Hydrocephalus Vasospasm
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