摘要
目的探讨椎管引流术治疗外伤性和自发性蛛网膜下腔出血 (SAH)的可行性、适应证及禁忌症。方法对 132 6例SAH患者在常规治疗的同时 ,早期进行大引流量 ,多次的椎管引流术。结果本组恢复良好 10 4 9例 (79.1% ) ,中残72例 (5 .4 % ) ,重残 73例 (5 .5 % ) ,植物生存 9例 (0 .7% ) ,死亡 12 3例 (9.3% )。结论只要掌握手术适应证 ,加用椎管引流术治疗SAH疗效好 ,后遗症少。
Objective To explore the feasibility, indication and contraindication of vertebral draining in treating spontaneous subarachnoid hemorrhage(SAH). Methods 1 326 cases of SAH underwent an early large amount of and repeated vertebral draining in addition to routine treatment. Results 1 049 cases recovered well(79.1%), 72 cases were moderately disabled (5.4%) , 73 cases were severely disabled(5.5%), 9 cases survived without consciousness(0.7%) and 123 cases died (9.3%) . Conclusion The well mastering of operation indication contributes to the better therapeutic effect and less sequela when vertebral draining is applicable for treating SAH.
出处
《中国综合临床》
北大核心
2003年第9期783-784,共2页
Clinical Medicine of China
基金
广东省医学科学技术研究基金资助 (课题编号 :A2 0 0 0 71 4 )
关键词
蛛网膜下腔出血
椎管引流术
潮式
Subarachnoid hemorrhage
Vertebral draining,cheyne stokes
