| 腰穿置管稳压引流治疗蛛网膜下腔出血后脑积水 |
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| 引用本文： | 王玉斌,宋红发,王庆宣,董淼伟,齐进兴.腰穿置管稳压引流治疗蛛网膜下腔出血后脑积水[J].实用医药杂志(山东),2003,20(11):805-807. |
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| 作者姓名： | 王玉斌 宋红发 王庆宣 董淼伟 齐进兴 |
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| 作者单位： | 151医院神经病医学中心 河南安阳455000
(王玉斌，宋红发，王庆宣)，153医院神经内科 河南郑州450052
(董淼伟)，濮阳市人民医院神经内科 河南安阳455006(齐进兴) |
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| 摘 要： | 目的探讨蛛网膜下腔出血(SAH)后脑积水简便、安全、有效的治疗方法。方法所收治的283例SAH病人中有90例发生了急性脑积水,在内科治疗基础上,其中46例进行了腰穿置管稳压引流治疗结果与无脑积水者对照比较。结果上法治疗后32例(32/46,70%)意识水平均有所改善;所有受治病人12d内再出血和脑缺血的发生率与无脑积水的病人组无显著性差异〔5/46(11%),24/193(12%);16/46(35%)60/193(31%)。P>0.05〕。治疗组未发生脑室炎或脑膜炎。结论腰穿置管稳压引流是一种治疗SAH后脑积水简便、安全、有效的方法。
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| 关 键 词： | 腰穿置管 稳压引流 脑积水 蛛网膜下腔出血 |
| 修稿时间： | 2003年7月8日 |
Treatment of hydrocephalus after subarachnoid hemorrhage with lumbar puncture steady-pressure drainage |
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| Abstract: | Objective To study an effective treatment for hydrocephalus after subarachnoid hemorrhage(SAH). Methods There were 90 patients with acute hydrocephalus in 283 patients with SAH. Besides medical treatment,lumbar puncture steady-pressure drainage of cerebrospinal fluid(CSF) was performed in 46 of the 90 patients; their treatment outcomes were compared with that of the patients without hydrocephalus.Results The 32 of the 46 paitents achived improvement in the level of consciousness; the rebleeding and cerebral ischemia rate within 12 days after SAH in patients with hydrocephalus was not significantly higher than the rate in those without hydrocephalus5/46(11%) 24/193(12%);16/46(35%) 60/193(31%).P>0.05]. Neither meningitis nor ventriculitis was observed in the 46 patients. Conclusion The lumbar puncture steady-pressure drainage of CSF would be a safe, effective method for treatment of hydrocephalus after SAH. |
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| Keywords: | Lumbar puncture Steady-pressure drainage Hydrocephalus Subarachnoid hemorrhage |
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