腰大池脑脊液持续外引流治疗外伤性蛛网膜下腔出血临床评价

目的探讨腰大池脑脊液持续外引流对外伤性蛛网膜下腔出血患者的治疗效果。方法将天津市天和医院2005年1月～2009年7月收治的48例外伤性蛛网膜下腔出血患者,按照治疗方法分为2组。治疗组24例采用腰大池脑脊液持续外引流,对照组24例每天行腰穿术放脑脊液。对2组的疗效进行比较分析。结果治疗组在缩短头痛、脑膜刺激征和血性脑脊液转清时间、减少并发症及增加GOS评分良好率上优于对照组。结论腰大池脑脊液持续外引流是治疗外伤性蛛网膜下腔出血的有效方法。

Clinical Evaluation of Durative External Drainage of Cerebrospinal Fluid from Lumbar Cistern in Treatment for Traumatic Subarachnoid Hemorrhage

To study the effect of durative external drainage of cerebrospinal fluid（CSF） from lumbar cistern for treating traumatic subarachnoid hemorrhage（TSAH）.Methods Forty-eight patients with TASH,who admittd in our hospital from January 2005 to July 2009,were divided into 2 groups.Twentyfour cases in the experiment group were treated with durative drainage of CSF from lumbar cistern.Twenty-four cases in the control group were treated with lumbar puncture daily.The curative effects were comparatively analyzed.Results The therapeutic effect of experiment group was better than the control group in terms of shortening the duration of headache,meningeal irritation sign and cleaning CSF,decreasing complications,increasing the rate of good recovery according to GOS.Conclusion Durative external drainage of CSF from lumbar cistern is effective in treating SAH.