【摘要】 本文报道使用脑室体外引流治疗26例脑室出血。全部病例均经CT扫描和脑脊液检验证实。其中18例曾行CT复查。大多数病人脑室内高密度影于发病后13天内消失,脑室呈低密度。最初24小时脑脊液中血红蛋白引出量平均为2,618g/L(261.8mg/100ml)血性脑脊液。病人总死亡率为26.9％。本组病人治疗结果较满意,分析表明:脑室引流适用于脑室内积血多而脑实质内血肿较小的病例。据此作者提出应用脑室引流的适应症是:(1) 单纯脑室内出血;(2) 伴有100ml以下脑内血肿的继发性脑室出血;(3) 伴有脑室出血的脑内巨大血肿清除手术后。文内还讨论了脑室引流治疗机理和有关的技术问题。更多还原

【Abstract】 26 cases of intraventricular hemorrhage (IVH) rented by ventricular drainage are reported. All patients were confirmed by CT scan and CSF examination. The intraventricular increased density was decreased or disappeared in less than 13 days almost in all cases. The mean hematoglobin content of the bloody cerebrospinal fluid was 2.618g/L (261.8mg per 100ml) in the first 24 hours. The total mortality rate of the patients was 26.9％. Analysis of this series of patients showed that it is more suitable for ventricle hemorrhage but less in cerebrum. So the authors suggest that the indications of ventricular drainage are: 1. IVH without intraeerebral hematoma; 2. Middle sized hematoma combined with intraventricular hemorrhage; 3. IVH and intracerebral hematoma which has been removed. In the technical details and the mechanism of ventricular drainage in treating IVH are discussed also.更多还原