微创侧脑室引流加腰穿脑脊液置换治疗脑室铸型出血20例分析

目的观察微创侧脑室引流加腰穿脑脊液置换治疗脑室铸型出血的疗效。方法对20例脑室铸型出血患者采用双侧或单侧脑室引流配合腰穿脑脊液置换,观察其疗效。结果恢复良好8例,需人照顾8例,植物生存1例,死亡3例,存活病例无脑积水发生。结论该方法可以明显降低脑室铸型出血的死亡率,迅速清除脑室系统及蛛网膜下腔的积血,加快脑脊液的正常化,减少脑积水等并发症。

Analyses of 20 cerebroventricular haemorrhage cases treated by minimally invasive lateral cerebral ventricle evacuation and cerebrospinal fluid replacement by lumbar puncture.

Objective To observe the curative effect of cerebroventricular haemorrhage cases treated by minimally invasive lateral cerebral ventricle evacuation and cerebrospinal fluid replacement by lumbar puncture. Method blood of lateral cerebral ventricle was evacuated and cerebrospinal fluid was replaced by lumbar puncture to 20 cerebroventricuiar haemorrhage cases then. Result 8 cases were recoveried well,8cases were lived but need others help.l case was plant man,3 cases were dead, survivor were not Hydrocephalus. Conclusion This operation can cut down death rate of cerebroventricular haemorrhage cases,and clean haematocele in cerebral ventricle and subarachnoid space. In the same time,this way can accelerate cerebrospinal fluid normalizing, and decrease hydrocephalus and other complication.