【摘要】 目的:观察脑脊液置换疗法治疗蛛网膜下腔出血的临床疗效。方法:40例原发性蛛网膜下腔出血患者接受脑脊液置换治疗,多数3～5次,每次脑脊液出量30ml。结果:29例(72.5％)患者临床治愈,无明显神经系统后遗症,8例有神经功能缺陷,3例再发出血死于脑疝。结论:脑脊液置换疗法能有效清除蛛网膜下腔积血,降低颅压,预防或减轻脑血管痉挛、交通性脑积水及蛛网膜粘连。对减轻头痛、意识障碍、脑膜刺激征有良好疗效。更多还原

【Abstract】 Objective:To evaluate the clinical effect of cerebrospinal fluid exchange treatment in subarachnoid haemorrhege. Methods: Forty patients of primary subarachnoid haemorrhage were treated by cerebrospinal fluid exchange, three to five times in most patients. 30 ml cerebrospinal fluid flow in one time. Results: Twenty-nine (72.5 %)patients were healed up and no obvious nervous system sequelae. Eight patients have nervous funection defect. Three patients result another blooding, and dead to brain hernia. Conclusinon:Cerebrospinal fluid exchange therapy can get rid of subarachnoid accumulate blood effectly, decrease intracranial pressure, prevent or alleviate cerebral vasospasm, communicative hydrocephalus effect for alleviate headache、consciousness obstruct、meninges stimulate symptom.更多还原