侧脑室持续灌洗引流治疗脑室出血的应用.pdfVIP

蚌埠医学院学报2014年9 月第39卷第9期 1203 [文章编号] 1000-2200(2014)09-1203-03 ·临床医学· 侧脑室持续灌洗引流治疗脑室出血的应用 刘明峰,任印斌,程雷鸣,何金辉,张立华 [摘要]目的:探讨侧脑室持续灌洗引流在脑室出血治疗中的应用价值。 方法:46例脑室出血患者随机分成对照组和治疗组, 分别采用双侧脑室置管外引流术加尿激酶注入与双侧脑室外引流加尿激酶持续灌洗治疗,观察比较两种治疗方法的疗效。 结果:治疗组有效率、清除脑室积血时间、颅内感染发生率、住院时间等均优于对照组(P 0.05 ~P 0.01)。 结论:侧脑室持 续灌洗引流是治疗脑室出血的有效方法。 [关键词]脑/ 外科手术;脑室出血;侧脑室持续灌洗;尿激酶 [中国图书资料分类法分类号] R651.11 [文献标志码]A Application of continuous lavage drainage of lateral ventricle in the treatment of intraventricular hemorrhage LIU Ming-feng,REN Yin-bin,CHENG Lei-ming,HEJin-hui,ZHANG Li-hua (Department of Neurosurgery,HuaibeiMiner General Hospital,HuaibeiAnhui235000,China) [Abstract] Objective:To investigate the clinical value of continuous lavage drainage of lateral ventricle in the treatment of intraventricular hemorrhage.Methods:Forty-six patients with intraventricular hemorrhage were randomly divided into the treatment group and control group.The treatment group and control group were treated with double lateral drainage combined with continuous urokinase lavage and urokinase injection,respectively.The clinical effects between two groups were compared.Results:The effective rate,time of clearing intraventricular hemorrhage,intracranial infection rate and hospitalization time in treatment groupwere better than those in control group(P0.05 toP0.01).Conclusions:Lateral ventricle lavage is an effective method in treating intraventricular hemorrhage. [Key words]brain/ surgery;intraventricular hemorrhage;lateral ventricle lavage;urokinase 脑室出血(intraventricular hemorrhage,IVH)是 等多脏器功能衰竭。 尽快清除脑室内积血、疏通脑 神经科的一种危重疾病,起病急骤,进展快,其恶化 脊液循环,控制急骤升高的颅内压是急救的重要措 的主要原因是脑室内积血阻塞脑室系统,形成梗阻 施;同时,尽早拔出引流管,降低感染率,也是改善预