立体定向脑室钻孔引流术在高血压脑出血术后颅内感染治疗中的应用.docVIP

精品论文 参考文献 立体定向脑室钻孔引流术在高血压脑出血术后颅内感染治疗中的应用 吉首市人民医院神经外科 湖南吉首 416000 【摘 要】目的：探讨立体定向脑室钻孔引流术在高血压脑出血术后颅内感染治疗中的应用。方法：选取本院2014年4月至2016年4月间收治的90例高血压脑出血术后颅内感染为本次研究对象，进行立体定向脑室钻孔引流术治疗，分析治疗效果。结果：90例病患中89例治愈，治愈率为98.89%，1例死亡，死亡率为1.11%，住院时间为（30.4plusmn;8.3）天；治疗前有1例嗜睡，14例昏睡，34例轻度-中度昏迷，41例重度昏迷，治疗后10例清醒，10例嗜睡，24例昏睡，22例轻度-中度昏迷，24例重度昏迷，治疗前后差异显著，具有统计学意义（Plt;0.01）。结论：采用立体定向脑室钻孔引流术治疗高血压脑出血术后颅内感染，能够及时控制感染及体温，对感染性脑脊液进行充分引流，避免阻塞，疗效显著，可以进行推广。 【关键词】立体定向脑室钻孔引流术；术后颅内感染；高血压脑出血 【Abstract 】 objective： to study the drilling stereotactic ventricle drainage in the treatment of hypertensive cerebral hemorrhage postoperative intracranial infection.Methods： to choose between April 2014 and April 2014 at our hospital treated 90 cases of hypertension cerebral hemorrhage between postoperative intracranial infection as the study object，and drilling for stereotactic ventricle drainage treatment，analysis of therapeutic effect.Results： 90 cases of patients in 90 cases were cured，the cure rate was 98.89%，1 case death，mortality was 1.11%，the length of hospital stay（30.4 + 8.3）days; 1 case of sleepiness before treatment，and 14 cases of lethargy，34 patients with mild to moderate coma，41 cases of severe coma，10 cases were awake after treatment，10 cases of lethargy，24 cases of lethargy，22 cases of mild to moderate coma，24 cases of severe coma，significant difference before and after the treatment with statistical significance（P lt; 0.01）.Conclusion： the stereotactic ventricle borehole drainage treatment of hypertensive cerebral hemorrhage postoperative intracranial infection，can control infection in time and temperature，to fully infectious cerebrospinal fluid drainage，avoid blocking，curative effect is distinct，and can be popularized. 【Key words 】 stereotactic ventricle drainage drilling; Postoperative intracranial infection; Hypertensive cerebral hemorrhage 高血压脑出血是临床上老年人群中较为多发、常见的疾病之一，且其致残率及致死率较高。高血压脑出血发病率占脑血管疾病发病率70%，病死率为50%[1]。目前，治疗高血压脑出血的关键是清除颅内血肿。临床上清除颅内血肿手术方式较多，值得注意