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目的：观察脑脊液置换结合活血化瘀中药治疗脑出血破入脑室患者的疗效。方法：脑出血患者６０例随机分为２组，每组均为３０例。治疗组采用一般治疗加脑脊液置换及活血化瘀中药治疗；对照组采用一般治疗和脑脊液置换。结果：治疗组治愈率４０．０％，总有效率８３．３％，无变化、恶化和病死率１６．７％；对照组治愈率２３．３％，总有效率６３．３％，无变化、恶化和病死率３６．７％。治疗组疗效明显优于对照组（Ｐ＜０．０５）。复查ＣＴ示脑实质内血肿全部吸收时间，治疗组为７日～４６日，平均２３日，对照组为１５日～７０日，平均５０日，脑实质内血肿吸收速度２组比较有显著性差异（Ｐ＜０．０５）。结论：脑脊液置换结合活血化瘀中药治疗脑出血破入脑室，可提高患者生存质量，降低病死率和致残率。
Objective: To observe the curative effect of cerebrospinal fluid replacement combined with activating blood and removing blood stasis medicine on treating patients with cerebral hemorrhage penetrating ventricles. Methods: 60 patients with intracerebral hemorrhage were randomly divided into two groups, each group of 30 cases. Treatment group with general treatment plus cerebrospinal fluid replacement and blood circulation of Chinese medicine treatment; control group with general treatment and replacement of cerebrospinal fluid. Results: The cure rate of the treatment group was 40.0%, the total effective rate was 83.3%, no change, deterioration and mortality were 16.7%; the cure rate of the control group was 23.3%, the total effective rate was 63.3% , Aggravation and mortality rate 36.7%. The treatment group was significantly better than the control group (P <0.05). Review CT showed intracerebral hematoma within the total absorption time, the treatment group for 7 days to 46 days, an average of 23 days in the control group of 15 days to 70 days, an average of 50 days, intracerebral hematoma absorption rate of two groups were significantly different (P <0.05). Conclusion: Cerebrospinal fluid replacement combined with activating blood and removing blood circulation to treat cerebral hemorrhage into the ventricle can improve the quality of life of patients and reduce the mortality and morbidity.