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目的：观察中西医结合治疗重型脑室出血的疗效。方法：用改进的脑室穿刺引流术，配合腰椎穿刺脑脊液置换及静滴清开灵注射液治疗重型脑室出血患者３０例，并观察治疗前后患者的意识状态、脑室内血肿消失时间、高热消退时间及抽搐停止时间；以出院６个月为标准，将随访结果用日常生活能力（ＡＤＬ）来评定预后。结果：３０例中ＡＤＬ１１２例，ＡＤＬ２８例，ＡＤＬ３６例，ＡＤＬ４１例，ＡＤＬ５０例，ＡＤＬ６３例，总有效率为８６．７％。治疗后ＣＴ复查显示脑室内血肿消失时间为３日～１４日（平均６日）；脑内血肿全部吸收，时间为２日～４６日（平均１３日）。患者意识状态改善、高热消退及抽搐停止的时间均明显缩短。结论：中西医结合治疗重型脑室出血，可缩短病程，降低病死率及致残率，是治疗重型脑室出血的有效办法。
Objective: To observe the curative effect of integrated traditional Chinese and western medicine on severe intraventricular hemorrhage. Methods: Thirty patients with severe intraventricular hemorrhage were treated with modified ventricular puncture and drainage combined with replacement of lumbar puncture cerebrospinal fluid and intravenous Qingkailing injection. The state of consciousness, disappearance of intracerebral hematoma, Convulsions to stop the time; to discharge 6 months as a standard, follow-up results with daily living (ADL) to assess the prognosis. Results: Among the 30 cases, there were ADL112 cases, ADL28 cases, ADL36 cases, ADL41 cases, ADL50 cases and ADL63 cases, with a total effective rate of 86.7%. Post-treatment CT review showed that the disappearance of intraventricular hematoma for 3 days to 14 days (average 6 days); intracerebral hematoma all absorbed, time for 2 to 46 days (average 13 days). Patient awareness improved, hyperthermia and convulsions stopped significantly shorter time. Conclusion: Integrative treatment of severe intraventricular hemorrhage can shorten the course of disease, reduce mortality and morbidity, is an effective treatment for severe intraventricular hemorrhage.