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腰大池持续外引流术治疗继发性蛛网膜下腔出血(附46例报告).pdf
200520052005 444 444 444 ChinChinChin JJJ Neuromed,Neuromed,Neuromed, AprilAprilApril 2005,2005,2005, VolVolVol 4,4,4, No.No.No. 444 411
(46 )
46
R739.41 B 1671-8925(2005)04-411-003
Continuous lumbar cistern drainage of cerebrospinal fluid in the treatment of secondary
subarachnoid hemorrhage: report of 46 cases CHEN Shang-gu, YU Yu-yin, ZENG Sheng-tian.
Department of Neurosurgery, Shunde Hospital of Integrated Traditional Chinese and Western Medicine,
Foshan 528333China
Abstract Objective To evaluate the feasibility of continuous lumbar cistern drainage in order to
accelerate the clearance of bloody hemorrhagic cerebrospinal fluid (CSF) due to secondary subarachnoid
hemorrhage. Methods The technique of lumbar cistern catheterization was performed for continuous
external CSF drainage in 46 patients with secondary subarachnoid hemorrhage, and the drainage process and
the therapeutic results were observed. Results After continuous lumbar cistern drainage, the clinical
symptoms ameliorate quickly, few complications happened, and the in-hospital time was shortened.
Conclusion Continuous lumbar cistern CSF drainage was a simple method for treating secondary
subarachnoid hemorrhage. It can obviously accelerate the normalization of CSF, relieve or decrease the
complications such as angiospasm, hydrocephalus, and so on.
Key words Continuous external lumbar drainage; Subarachnoid hemorrhage
2002~2004
46
1. 34 12 20~72 42.3
21 7 4 5~7 d
14 24 h
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