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Ventricle hemorrhage treated by continuous alternant drainage surgery on meliorative side ventricle and lower cavity of lumbar arachnoid
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 7
- DOI:
- 10.3760/j.issn:1001-2346.2007.07.015
- Key Word:
- 脑室;改良式引流装置;引流术;侧脑室和腰椎
Abstract： 目的 探讨应用改良式引流装置行侧脑室和腰椎蛛网膜下腔持续交替引流术治疗脑室出血的疗效.方法 将80例脑室出血病人随机分成两组,改良组(40例)采用改良式侧脑室和腰椎蛛网膜下腔持续交替引流术,传统组(40例)应用传统侧脑室引流结合腰椎穿刺术.结果 改良组1例(2.5%)死亡,2例(5.0%)发生梗阻性脑积水;传统组5例(12.5%)死亡,6例(15.0%)发生梗阻性脑积水.改良组脑室出血清除速度大大快于传统组(χ2=20.43,P＜0.01);改良组疗效也明显优于传统组(χ2=10.18,P＜0.05).结论 改良式侧脑室和腰椎蛛网膜下腔持续交替引流术治疗脑室出血可明显降低病人的死亡率和伤残率,减少并发症和后遗症.
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