nimodipine and lumbar puncture and cerebrospinal fluid replacement in the treatment of subarachnoid hemorrhage the clinical observation（nimodipine和腰椎穿刺脑脊液置换治疗蛛网膜下腔出血的临床观察）.docVIP

Nimodipine and lumbar puncture and cerebrospinal fluid replacement in the treatment of subarachnoid hemorrhage the clinical observation To write papers Net: [Keywords:] nimodipine; lumbar puncture, cerebrospinal fluid replacement, subarachnoid hemorrhage [Keywords:] nimodipine, lumbar puncture, cerebrospinal fluid replacement, subarachnoid hemorrhage Subarachnoid hemorrhage (SAH), Department of Neurology, hemorrhagic cerebrovascular disease. Primary subarachnoid hemorrhage accounted for 10% to 15% of cerebrovascular disease [1], its dangerous disease may predispose to, then latent hydrocephalus and cerebral vasospasm (CVS), and high mortality in our hospital since January 2003 January 2006 conscious when admitted to hospital 30 cases of SAH patients, the use of nimodipine peace lumbar puncture and cerebrospinal fluid (CSF ) replacement therapy has made significant clinical efficacy, are reported below. 1 Materials and Methods 1.1 General information on 30 cases in this group, 16 males and 14 females, aged from 22 to 75 years, the average age of 452 years old. Onset within 24 h of admission for 28 cases, 2 cases admitted within 24 ~ 48 h. All cases comply with the Fourth National Conference on Cerebrovascular Disease diagnostic criteria [2] are confirmed by lumbar puncture and head CT examination. 1.2 hydrocephalus diagnosis is based on specific symptoms and signs of hydrocephalus, the basic performance for a severe headache, vomiting, disturbance of consciousness and eye movement disorders, and ultimately still head CT confirmed. 1.3 CVS diagnosis is based on re-aggravated symptoms improved in ① The SAH The ② disturbance of consciousness showed a volatility or increased symptoms of the ③ nervous system defects, irritation, and locating signs. ④ The exception of the recent rebleeding after SAH [ 3]. 1.4 Method 1.4.1 lumbar puncture and CSF replacement: this group of patients admitted to hospital after bed rest and take dehydrati