【摘要】 目的探讨常规脑室外引流加Ommaya储液囊植入在重度脑室内出血治疗中的应用价值。方法海口市人民医院神经外科自2009年以来在43例重度脑室内出血的手术中采用一侧脑室行常规的脑室外引流,对侧行Ommaya储液囊植入备用;常规引流5~7 d后改用头皮针穿刺储液囊继续引流。结果 43例重度脑室内出血患者均达到预期引流效果。按GOS评价预后:良好15例,轻残12例,重残10例,植物生存2例,死亡4例。结论在重度脑室内出血治疗中,Ommaya储液囊的应用增加了常规脑室外引流的安全性、有效性,减少了颅内感染、脑积水等并发症,改善了预后。更多还原

【Abstract】 【Objective】To explore the value of external ventricular drainage and Ommaya reservoir for severe intraventricular hemorrhage.【Methods】Unilateral external ventricular drainage was performed in 43 cases diagnosed with severe intraventricular hemorrhage and contralateral Ommaya reservoir was implanted for reservation.After 5~7 days,routine external ventricular drainage was suspended and Ommaya reservoir was punctured subcutaneously by scalp needled for alternative drainage.【Results】Drainage effect was satisfied in all 43 cases and outcome was graded according to GOS scale as following: favorable: 15,mild disability: 12,severe disability: 10,vegetative: 2,death: 4.【Conclusions】Ommaya reservoir contributed to safe and effective external intraventricular drainage and improved prognosis by reducing complications including intracranial infection and hydrocephalus.更多还原