Continuous lumbar drainage in the treatment of 85 cases of traumatic subarachnoid hemorrhage of.docVIP

 PAGE \* MERGEFORMAT 8 Continuous lumbar drainage in the treatment of 85 cases of traumatic subarachnoid hemorrhage of Of: Tianlong Fei Huang Chris, LI Xian-Zhi [Abstract] of continuous lumbar drainage in the treatment of traumatic subarachnoid hemorrhage results in the retrospective analysis of 85 cases, severe brain injury caused by lumbar subarachnoid hemorrhage drainage of large pool of clinical data. The results of this group of patients after injury or surgery were 3 ~ 4d line lumbar puncture drainage, drainage time 5 ~ 9d, 7 cases because of excessive bleeding, obstruction of drainage tubes repeated extubation .3 months to 2 years of clinical follow-up and head CT review, 48 cases of good recovery, moderate disability in 20 cases, 6 cases of severe disability, vegetative state survival in 3 cases, 8 patients died. including 12 cases of brain injury and the formation of regional malacia and intraventricular similarities, but clinical symptoms of stable 7 cases the injury occurred from 1 to 6 months hydrocephalus, VP shunt surgery after a good recovery. that the lumbar puncture and continuous drainage of bloody cerebrospinal fluid can effectively remove, reduce complications, easy to operate, is the treatment of traumatic subarachnoid hemorrhage under an effective means. [Keywords:] subarachnoid hemorrhage, lumbar drainage, traumatic brain injury Traumatic subarachnoid hemorrhage (TSAH) is the most common head injury pathology, survey shows 41% of cases, the severe head injury patients admitted to hospital with head CT TSAH performance [1]. TSAH with cerebral ischemia and brain water, and the amount of bleeding and blood in the subarachnoid space is closely related to the existence of time, remove as soon as possible within the subarachnoid hemorrhage is the key to treatment of TSAH. I Division from June 2000 -2008 85 cases in April in severe head injury patients with subarachnoid hemorrhage caused by continuous drainage by lumbar puncture to o