Ruptured intracranial aneurysm after interventional therapy early continuous lumbar drainage of the clinical application.docVIP
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Ruptured intracranial aneurysm after interventional therapy early continuous lumbar drainage of the clinical application
PAGE \* MERGEFORMAT 11
Ruptured intracranial aneurysm after interventional therapy early continuous lumbar drainage of the clinical application
Of: Hu Liang Hua Zhong Jun Xu-Ming Yang Min Li Shiting
[Abstract] Objective To investigate the early continuous lumbar drainage in the treatment of ruptured intracranial aneurysm after interventional clinical value. Methods 149 patients after the embolization according to Hunt Hess grade were divided into 4 groups. Given continuous lumbar drainage, lumbar through put in cerebrospinal fluid and simple drug treatment, respectively, within each group 3 compared the efficacy and complications of treatment. Results lumbar cerebrospinal fluid drainage in the treatment with lumbar puncture put, simple drug treatment compared to levels in the Hunt Hess group the incidence of cerebral vasospasm low, early self-care cases a high proportion of the Hunt Hess ~ -level group of cerebral vasospasm incidence, mortality lower (P lt;0.05. Conclusion Early continuous lumbar drainage can effectively reduce the treatment Hunt Hess level and ~ ruptured intracranial aneurysm-level intervention the prognosis of patients after treatment.
[Keywords:] intracranial aneurysm, continuous lumbar drainage
Aneurysmal subarachnoid hemorrhage (SAH is a common clinical critical illness, and symptomatic cerebral vasospasm (CVS is one of its major complications (1). Pathogenesis of cerebral vasospasm is complex and still not clear, so How to prevent cerebral vasospasm occurrence of clinical a problem. literature, the use of early continuous lumbar drainage as soon as possible remove bloody CSF, reducing ruptured aneurysms in patients with cerebral vasospasm occurred (2). This retrospective analysis of 149 patients Different Hunt Hess grade patients with ruptured intracranial aneurysm after interventional therapy with different treatment of continuous lumbar drainage of early clinical effect.
1 Materials and methods
1.1 General Info
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