基底池外引流治疗外伤性蛛网膜下腔出血临床研究
颅脑损伤；,蛛网膜下腔出血；,脑积水,,颅脑损伤；蛛网膜下腔出血；脑积水,1资料和方法,2结果,3讨论
【摘要】 目的 研究在颅脑损伤开颅术中行脑基底池置管外引流血性脑脊液能否降低脑积水发病率。方法 共收集病例58例，随机分为治疗组和对照组。对照组28例，为标准大骨瓣开颅术加药物治疗；治疗组30例，在标准大骨瓣开颅术中行脑基底池置管持续外引流血性脑脊液加药物治疗。两组经颅脑CT观察，计算脑积水发病率，然后经统计学分析。结果 两组病人脑积水发病率有明显差异(P<005)。结论 经脑基底池置管早期外引流血性脑脊液，能够明显降低脑积水发病率。【关键词】 颅脑损伤；蛛网膜下腔出血；脑积水
Clinic study of treatment for traumatic subarachnoid hemorrhage by outdrainage from basilar cistern
DU Fuhong SUN Xizhou TANG Suwen et al
Department of Neurosurgery, Chinese Medical Hospital of Rizhao,Rizhao 276800
【Abstract】 Objective To explore the methods of outdrainage blood CSF from basilar cistern to treat traumatic subarachnoid hemorrhage(tSAH) in craniocerebral injury operations,for the purpose of reducing the rate of hydrocephalus.Methods The clinical information of 58 patients was gathered and divided into treatment group and control group randomly.The therapy of standard large trauma craniotomy operations and drugs of 28 patients was normal methods for control group.The other patients as treatment group was out drainage from basilar cistern,based on the way of the control group.Then the rate of hydrocephalus found by brain CT.The outcome show after treated by statistic methods.Results The rate of hydrocephalus in two groups is different(P<005).Conclusion The way of outdrainage CSF from basilar cistern,could decline the rate of hydrocephalus significantly. ......
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