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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
引用本文:李毅平,罗毅男,李蕴潜,赵万,鞠砚,许侃,毕春华,吴耀臣,王长坤.脑室持续外引流术治疗蛛网膜下腔出血的临床研究[J].中华急诊医学杂志,2002,11(2):108-109,115.
作者姓名:李毅平  罗毅男  李蕴潜  赵万  鞠砚  许侃  毕春华  吴耀臣  王长坤
作者单位:130021,长春,吉林大学第一医院神经外科
基金项目:吉林省卫生厅科研课题 ( 960 0 0 9)
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(26例)行颅骨钻孔侧脑室内置管持续外引流3d,对照组(30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20%,治疗组疗效明显优于对照组。结论 脑室待续外引流可应用于临床治疗蛛网膜下腔出血。

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

The study of continuous ventricular external drainage of cerebrospinal fluid in patients with subarachnoid hemorrhage
LI Yiping,LUO Yinan,LI Yunqian,et al..The study of continuous ventricular external drainage of cerebrospinal fluid in patients with subarachnoid hemorrhage[J].Chinese Journal of Emergency Medicine,2002,11(2):108-109,115.
Authors:LI Yiping  LUO Yinan  LI Yunqian  
Institution:LI Yiping,LUO Yinan,LI Yunqian,et al.Deparment of Neurosurgery,First affiliated Hospital of Jilin University,Changchun 130021,China
Abstract: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.
Keywords:Continuous ventricular external drainage  Subarachnoid hemorrhage  Hydrocephalus  Vasospasm
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