摘要
目的:探讨持续腰大池引流治疗创伤性蛛网膜下腔出血临床治疗效果。方法:收治创伤性蛛网膜下腔出血患者100例,随机分成对照组和观察组各50例,对照组采取间断腰椎穿刺生理盐水置换脑脊液。观察组采取持续腰大池引流治疗。结果:观察组发生蛛网膜下腔再出血6例,发生脑积水7例,发生脑梗死6例;对照组发生蛛网膜下腔再出血13例,发生脑积水16例,发生脑梗死12例。两组比较差异有统计学意义(P<0.05),两组随访6个月,对照组良好22例,中残9例,重残5例,植物生存4例,死亡10例;观察组良好30例,中残7例,重残3例,植物生存3例,死亡7例,两组比较差异有统计学意义(P<0.05)。结论:持续腰大池引流治疗创伤性蛛网膜下腔出血疗效显著。
Objective：To study the effect of continuous lumbar cistern drainage in treat-ment of traumatic subarachnoid hemorrhage. Methods：We selected 100 cases of traumatic subarachnoid hemorrhage patients from 2010 June to 2013 June.These patients were randomly divided into observation group and control group with 50 cases in each.The con-trol group adopted discontinuous lumbar puncture to exchange eerebrospinal fluid with physiological saline.The observation group adopted continuous lumbar cistern drainage.Results：The observation group oc-curred again subaraehnoid hemorrhage in 6 patients, hydrocephalus in 7 cases and cere-bral infarction in 6 cases.The control group occurred again subarachnoid hemorrhage in 13 patients,hydrocephalus in 16 cases and cerebral infarction in 12 cases.The differ-ence between the two groups was significant （P 〈 0.05）.Follow up of 6 months,The control group patients had good effect 22 cases, moderate disability 9 cases,severe disability 5 cases,vegetative patient 4 cases and death 10 cases.The observation group patients had good effect 30 cases,moderate disability 7 cases,severe disability 3 cases,vegetative patient 3 cases and death 7 cases.The differ-ence between the two groups was signifi-cant（P 〈 0.05）.Conclusion：The effect of con-tinuous lumbar cistern drainage in the treat-ment of traumatic subarachnoid hemorrhage is remarkable and is is worth spreading.
关键词
腰大池引流
创伤性蛛网膜下腔出血
腰椎穿刺
Lumbar cistern drainage
Traumatic subarachnoid hemorrhage
Lum-bar puncture
