持续腰大池引流治疗动脉瘤性蛛网膜下腔出血46例.pdfVIP

临床军医杂志 2013 年2 月第41 卷第2 期 Clin J Med Offic , Vo l. 41 ,No. 2 ,Februa巧，2013 • 145 . 持续腰大池寻|流治疗动脉瘤性蛛网膜F腔出血46 例 朱奇峰，周志国，王国芳 (解放军第 264 医院神经外科，山西 太原 030001) 摘要:目的 探讨持续腹大池引流治疗动脉瘤性蛛网膜下腔出血的临床效果和安全性。方法 2009 年 l 月 -2011 年 12 月，我科对46 例 动脉瘤性蛛网膜下腔出血患者在其动脉瘤栓塞后进行持续腰大池引流，将该组病人作为治疗组;将2006 年6 月-2008 年 12 月收治的在 动脉瘤栓塞后采取常规腰椎穿刺的37 例动脉瘤性蛛网下腔，1:1血患者作为对照组，对两组患者头痛程度、脑血管痊孪程度、脑积水等有关 临床资料进行回顾性分析。结果 治疗组患者头痛程度、脑血管痊孪程度、脑积水发生率均明显低于对照组(P0.05) 。结论 持续腰 大池引流对动脉瘤性蛛网膜下腔出血的治疗是安全的，具有取材方便、操作简单、并发症少的特点，能够明显降低动脉瘤性蛛网膜下腔出 血患者头痛及脑血管痊李程度、降低脑积水的发生率。 关键词:蛛网膜下腔出血;动脉瘤;腰大池;引流 3 申图分类号:忐川R盯7削.34 文献标志码:卅AId由创o创i: 1ω0.39ω69/j. 白时阳sn. 凶旧1 6们7η1-3脱 2却01口3.0归2. 叫 文章编号:ι卅167ηl 拟6(口2却201创13盯)0归2-D驯1时。础 Experience in con刽nuous lumbar drainage in treatment of aneurysmal subarachnoid hemorrhage Zhu Qing-fe吨， Zhou Zhi-guo , Wang Guo-fang ( Department of Neurosurgery , PLA 264th Hospital , Taiyuan Shanxi 030001 , China) Abstract: Objective To investigate the clinical effect of continuous lumbar drainage on aneurysmal subarachnoid hemorrhage and its security. Methods From January 2009 to December 2011 , 46 patients with aneurysmal subarachnoid hemorrhage were treated with continuous lumbar drainage as trial group , and from June 2006 to December 2008 , 37 patients with the same disorder were treated with routine lumbar puncture as control group. The two groups were retrospectively analyzed on aspects of headache , cer- ebral vasospasm and hydrocephalus , and so on. Results The trial group was significantly lower in the degree of headache and cerebral vasospasm and in the incidence of hydrocephalus than the control group (P 0.05). Conclusion With operational convenience and fewer complications , continuous lumbar drainage is a safe and effect treatment method to aneurysmal subarachnoid hemorrhage. It can si