改良双侧脑室及终池持续外引流术治疗全脑室铸型出血27例.pdfVIP

第 31 卷第 6 期 赣南医学院学报 Vol.31 NO.6 2011 年 12 月 JOURNAL OF GANNAN MEDICAL UNIVERSITY DEC.2011 改良双侧佩服屋及终池持续外引流和台疗刽商室铸型出血 ZI 例 袁晓兵，杨杰，陈小萍，李金亮，肖锋 (江西省萍乡市第二人民医院神经外科，江西 萍乡 337∞0) 摘 要:目的:探讨全脑室铸型出血患者的手术治疗方法及疗效。方法:对 27 例全脑室铸型出血患者采用改良双 侧侧脑室外引流术及脑室内尿激酶冲洗和腰穿终池持续外引流术治疗，存活患者均随诊至 6 个月。结果 :16 例 恢复良好、中残 4 例、重残 3 例、植物生存 I 例、死亡 3 例。结论:该方法对设备要求低、技术难点少、操作简单、疗 效较好，非常适合于各种全脑室铸形出血的患者，在各级医院均可进行。 关键词:改良侧脑室外引流术;全脑室铸型出血;尿激酶冲洗;终池持续外引流 中图分类号 :R65 1. 1+ 1 文献标志码 :A 文章编号: 1 ∞ 1 -5779(2011 )06 -0734 -02 Total Intraventricular Hemorrhage( Tm) of Casting form Treated with Refo口回昭-Bintraven创wlarE配mal Dr现nage ar世Con?nuous Tem由131 Ostem Drainage in zl Q翻~ YUAN Xiao-bing , YANG Jie , CHE Xiao-ping ,et al (Department of Neurosurgery , The Second Peoples Hospital of Pin伊ia吨， Pingxia吨， Jian萨i 337α)()) Abstract: Objective: To study the methods and evaluate the effect of treatment on total intraventricular hemorrhage (ηH) of casting form. Methods: 27 cases with 咀H were treated with. bintraventricular external drainage , intraventricular irrigation with urokinase and continuous drainage via a lumbar catheter in terminal cistern. Follow-up studies were made 6 months after the treatment in all survived cases. Results: 16 cases had a good recovery ,4 cases had a moderated disabili? ty , 3 cases had a severe deficits , 1 case was in vegetative state , and 3 cases were dead. Conclusions: 四is method o