摘要
目的观察早期腰大池脑脊液持续外引流对外伤性蛛网膜下腔出血患者的疗效．探讨出早期外伤性蛛网膜下腔出血的最佳治疗途径。方法回顾性分析32例外伤性蛛网膜下腔出血患者的临床资料，按照治疗方法分为持续外引流组与传统治疗组，每组各16例，分别采用早期行腰大池脑脊液持续外引流与隔天行腰穿术放脑脊液，对两组的疗效及各项观察指标进行比较并作统计学分析。结果持续外引流组与传统治疗组在颅内压恢复正常时间、意识障碍持续时间、脑脊液检验恢复正常时间、头痛持续时间及并发症的发生上差异存在统计学意义（P〈0．05），持续外引流组效果显著优于传统治疗组。结论外伤性蛛网膜下腔出血患者行早期腰大池持续外引流治疗，脑脊液转清快，能尽早清除血性脑脊液对脑的损害，同时达到平稳降低颅内压，缓解头痛症状，且避免了常规腰穿引流量有限，反复操作导致感染、局部红肿等缺陷．提高治疗效果，减少并发症的作用。
Objective To observe the curative effect of early continuous drainage of cerebrospinal fluid （CSF） from lumbar cistern for traumatic subarachnoid hemorrhage （TSAH）, and to explore the best therapeutic approach for TSAH. Methods Thirty-two cases with TSAH were divided into 2 groups, continuous CSF drainage group and conventional treatment （lumbar puncture for CSF drainage every 2 d） group （n= 16 in each group）. The therapeutic outcome and observed parameters were compared and analyzed statistically. Results The therapeutic effect of continuous CSF drainage group was significant better than that of conventional treatment group in terms of decreasing intracranial pressure, rescuing of coma, cleaning bloody CSF and reducing headache with no complications （P〈 0.05）. Conclusion The early continuous drainage of CSF from lumbar cistern can make the CSF return soon to be clear, and reduce the damage of bloody CSF to brain, meantime decrease stably the intracranial pressure, relieve the headache. It can also avoid such shortcomings of normal lumbar puncture as limited fluence and infection and local swelling due to repeated operations, so it increases the therapeutic effect and decreases complication incidence.
出处
《中华神经医学杂志》
CAS
CSCD
2008年第2期192-194,共3页
Chinese Journal of Neuromedicine
关键词
脑脊液引流
蛛网膜下腔出血
创伤性
Cerebrospinal fluid drainage
Subarachnoid hemorrhage, traumatic
