【摘要】 目的　探讨小脑延髓池穿刺治疗第四脑室出血的临床效果。　方法　对 2 0例第四脑室出血病人行小脑延髓池穿刺术 ,部分配合侧脑室引流术。并选同期采用内科保守治疗的 15例病人为对照组。　结果　治疗组治愈率 85 % ,与对照组 (2 6 6 % )相比差异较显著 (P <0 0 1)。而且大部分在术后 2小时～ 4小时内神志转清 ,临床上不留后遗症。　结论　小脑延髓池穿刺不失为治疗第四脑室出血的有效措施 ,尤其对于出血量 <8ml,脑干受压 <1 2的早期发病者 ,更为本疗法的最佳适应症更多还原

【Abstract】 Objective To observe the efficacy of cisternal puncture in curing the patients with the fourth ventricle nemorrhage. Methods There were 35 patients with the fourth ventricle hemorrhage,among them,20 cases were treated by cisternal puncture,as the therapeutic group,the others(15 cases) only treated by conservative treatment as control group. Results In therapeutic group the curative effect was good,an 85% cure rate,but control group only 23.3%.There was significance(P<0.01) between the two groups. Conclusion Cisternal puncture can be used effectively for cure of the fourth ventricle hemorrhage,and most of the patients can recover consciousness after 2 or 4 hours by puncture.更多还原