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目的 观察脑室穿刺对自发性脑室出血的治疗作用。方法 应用CT定位颅骨锥孔侧脑室前角或后角穿刺持续引流术抢救治疗自发性脑室出血患者 32 5例。结果 32 5例中 ,死亡 16 3例 ,死亡率 5 0 15 %。术毕较术前血压明显下降 ,术后第三天较术前昏迷患者数明显减少 ,二者有显著性差异。结论 本法能迅速降低颅内高压 ,改善意识情况 ,其死亡率比一般内科治疗降低明显 ,尤其是对Ⅲ -Ⅳ级患者更为适宜
Objective To observe the therapeutic effect of ventricular puncture on spontaneous ventricular hemorrhage. Methods Thirty-five patients with spontaneous ventricular hemorrhage were treated with CT guided cranial cone lateral ventricle anterior horn or posterior horn puncture continuous drainage. Results Among 32 5 cases, 16 3 were dead and the death rate was 50.15%. The operative blood pressure was significantly lower than that before operation, and the number of patients on the third day after operation was significantly lower than that before operation. There was a significant difference between the two. Conclusion This method can quickly reduce intracranial hypertension and improve consciousness, the mortality rate is significantly lower than the general medical treatment, especially for Ⅲ-Ⅳ grade patients is more appropriate