【摘要】 目的　探讨脑脊液置换治疗原发性蛛网膜下腔出血 (SAH)的疗效。方法　将原发性SAH病例随机分成两组 ,治疗组 5 0例 ,对照组 4 8例 ,两组病例均进行常规内科综合治疗 ,治疗组加用脑脊液 (CSF)置换治疗。结果　SAH治疗组头痛、脑膜刺激征消失时间、脑脊液恢复正常时间较SAH对照组显著减少 (P <0 .0 1) ,治疗组并发症发生率、病死率较对照组显著降低 (P <0 .0 1)。结论　CSF置换治疗原发性SAH简便易行、疗效显著 ,能降低并发症的发生率和病死率 ,能改善预后。更多还原

【Abstract】 Objective:Exploring the currative effect and prognosis of cerebrospinal fluid displacement method to tract subarachnoid hemorrhage.Methods:To divide the subarachnoid hemorrhage patients ramdomyly into two group: 50 cases in treatment group ,and 48 cases in contrast group.All patients were treated with medical methods. 50 cases in treatment group were treated with cerebrospinal fluid displacement method.Results:The headache and meningeal irritation sysmpton disappearance time of 50 cases in treatment group were decreased more significantly than contrast group (P<0.01).The complication and case-fatality rate in treatment group were decreased more significantly than contrast group (P<0.01).Conclusions:The treatment of cerebrospinal fluid displacement to subarachnoid hemorrhage is much more efficiont than standard treatment.The treatment can decreased the complication, cas-fatality rate and improve the prognosis.更多还原