摘要
目的研究脑室穿刺治疗方法应用于高血压丘脑出血破入脑室患者临床治疗中的效果。方法选择2016年2月-2019年1月本医院收治的60例高血压丘脑出血破入脑室患者,全部患者都实施脑室穿刺治疗,统计其治疗效果。结果两侧侧脑室穿刺治疗26例,单侧侧脑室穿刺治疗33例,穿刺过深误入到第三脑室1例。血肿全部消除,脑室系统得以恢复至畅通用时3~5 d,术后拔管天数是5~12 d。ADL分级为Ⅰ级、Ⅱ级、Ⅲ级、Ⅳ级、Ⅴ级及死亡的患者分别有4例、12例、26例、12例、2例、4例。结论对高血压丘脑出血破入脑室患者实行脑室穿刺治疗的效果良好。
Objective To study the effect of ventricular puncture in the treatment of hypertensive thalamic hemorrhage ruptured into ventricles.Methods 60 patients with hypertensive thalamic hemorrhage ruptured into ventricles were selected in our hospital from February 2016 to January 2019.All patients were treated with ventricular puncture,and the therapeutic effect was counted.Results 26 cases were treated by bilateral ventricle puncture,33 cases were treated by unilateral ventricle puncture and 1 case was punctured too deep into the third ventricle.The hematoma was completely eliminated,the ventricular system was restored to normal for 3~5 d,and the extubation days were 5~12 d.There were 4 cases,12 cases,26 cases,12 cases,2 cases and 4 deaths in ADL grade I,II,III,IV,V,respectively.Conclusion Ventricular puncture is effective in the treatment of hypertensive thalamic hemorrhage ruptured into ventricles.
作者
邹鹏程
谭春
ZOU Pengcheng;TAN Chun(Department of Neurosurgery,Chongqing Southeast Hospital,chongqing 401336,China)
出处
《中国继续医学教育》
2020年第6期110-112,共3页
China Continuing Medical Education
关键词
脑室穿刺
高血压
丘脑出血
脑室
血肿
ADL分级
ventricular puncture
hypertension
thalamic hemorrhage
ventricle
hematoma
ADL classification
