摘要
目的探讨蛛网膜下腔出血 ( SAH)的有效治疗方法。方法对 6 9例 SAH患者进行治疗 ;治疗组 ( 3 9例 )腰椎穿刺置管稳压引流脑脊液 ,对照组 ( 3 0例 )间断腰椎穿刺放脑脊液。结果治疗组头痛减轻程度、痊愈率明显优于对照组 ,脑血管痉挛、脑积水发生率明显低于对照组 ,而未增加再出血、脑疝发生率及病死率。结论腰椎穿刺置管稳压引流脑脊液是一种安全、有效的治疗
ObjectiveTo explore the effective means for treating subarachnoid hemorrhage (SAH).Methods69 cases of SAH were treated.The treatment group received drainage of cerebrospinal fluid (CSF) by means of lumbar puncture steady pressure (n=39) and control group received intermittent drainage of CSF by lumbar puncture(n=30).ResultsThe degree of headache alleviation and cure rate were significantly higher in treatment group than control group.The occurrence rates of cerebral vasospasm and hydrocephalus were obviously lower in treatment group than control group.In addition,hemorrhage did not happen again,cerebral hernia and death rates were the same in both groups.ConclusionThe lumber puncture steady pressure drainage is safe and effective for treating SAH.
出处
《中国综合临床》
北大核心
2002年第7期592-593,共2页
Clinical Medicine of China
关键词
蛛网膜下腔出血
腰椎穿刺置管
稳压引流
脑脊液
Subarachnoid hemorrhage
Lumbar puncture
Steady pressure drainage
Cerebrospinal fluid
