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目的:观察双侧侧脑室引流治疗脑室内出血效果。方法:选择脑室内出血112例,随机分为观察组和对照组各56例。观察组为双侧侧脑室引流,采用穿刺外引流联合尿激酶脑室内灌注,并同时应用腰大池引流术;对照组非手术治疗后,采用腰大池持续引流并行脑脊液置换。观察比较两组日常生活活动能力恢复情况。结果:观察组日常生活活动能力Ⅰ级恢复率显著高于对照组(P<0.05)。结论:双侧侧脑室引流治疗脑室内出血效果优于腰大池持续引流并行脑脊液置换。
Objective: To observe the effect of bilateral lateral ventricle drainage on intraventricular hemorrhage. Methods: 112 cases of intraventricular hemorrhage were selected and randomly divided into observation group and control group with 56 cases each. The observation group was bilateral lateral ventricle drainage, puncture drainage combined with urokinase intracerebroventricular perfusion, and at the same time the application of lumbar drainage. In the control group after non-surgical treatment, the lumbar cistern was continued drainage and cerebrospinal fluid replacement. Observed and compared the ability of daily living in both groups to recover. Results: The first grade recovery rate of activities in daily life of the observation group was significantly higher than that of the control group (P <0.05). Conclusions: Bilateral lateral ventricle drainage is superior to continuous ligation of cerebrospinal fluid in lumbar cistern for intraventricular hemorrhage.