摘要
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 therapeutic efficacy of TCM WM in treating severe cerebral ventricular hemorrhage (CVH).Methods:Thirty cases of severe CVH were treated with improved cerebral ventricular puncture and drainage,cerebral spinal fluid (CSF) displacement and intravenous drip Qingkailing Injection.Then,to observe the consciousness,disappearance time of cerebral ventricular hematoma,febricide time and cease time of convulsion.Moreover,based on standard at 6 months for discharged from hospital,to judge the prognosis with activity of daily living (ADL) method according upon the followup.Results:Among 30 cases,12 cases was ADL1,8 cases was ADL2,6 cases was ADL3,1 case was ADL4,0 case was ADL5 and 3 cases was ADL6,the total effective rate was 867%.The CT reexamine was indicated that disappearance time of cerebral ventricular hematoma was 3 to 14 days(mean 6 days);complete absorption time of hematoma was 2 to 46 days (mean 13 days).In addition,the conciousness was improved,the time of febricide and ceasing convulsion were shorten after treatment.Conclusions:TCM WM treating severe CVH can shorten disease course,decrease mortality and disability rate,so it is an effective method for treating severe CVH.
