双侧脑室引流、冲洗结合腰穿救治高血压脑出血破入全脑室患者的临床观察

目的 观察双侧脑室冲洗、引流结合腰穿治疗高血压脑出血破入全脑室的有效性和安全性.方法 将高血压脑出血破入全脑室的83例分成双管组(n=57)和单管组(n=26),双管组采用双侧脑室引流、冲洗结合腰穿的方法治疗(57例);单管组用单管引流治疗(26例),将两组治疗结果进行统计学分析和比较.结果 双管组:良好和中残35例(61.4%)、重残11例(19.3%)、植物生存2例(3.5%)、死亡9例(15.8%),单管组分别为6例(23.1%)、6例(23.1%)、1例(3.8%)、13例(50.0%),以双管组的疗效为优(P＜0.01);且双管组的病死率明显低于单管组(P＜0.01).双管组的脑脊液廓清时间为3～6(4.2±1.3)d,明显短于单管组的6～15(8.6±2.1)d(P＜0.01).结论 双管引流比单管引流更容易保持引流通畅,脑脊液廓清迅速,并发症减少,能降低病死率,提高生存质量,是一种安全、有效治疗全脑室出血的方法.

Bilateral ventricular drainage and lumbar puncture for whole ventricular hemorrhage duo to hypertension

Objective To study the effect of bilateral ventricular drainage and lumbar puncture on patients with whole ventricular hemorrhage duo to hypertension.Methods Eighty-three patients with whole ventricular hemorrhage duo to hypertension were randomly divided into double tube group(n=57) and single tube group(n=26),and both groups received bilateral or unilateral ventricular drainage and lumbar puncture,respectively.The curative effect in both groups was compared.Results The therapeutic efficacy in double tube group was superior to that in single tube group,and the mortality and clear time of cerebrospinal fluid(CSF) were also improved in double tube group(P<0.01).Conclusion Bilateral ventricular drainage and lumbar puncture are safe and effective for the treatment of whole ventricular hemorrhage duo to hypertension.