脑脊液置换治疗继发性脑室出血的临床观察(1)
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[摘要] 目的：观察脑脊液置换术治疗继发性脑室出血的临床效果。方法：继发性脑室出血患者86例，将符合条件且同意脑脊液置换术的46例患者作为治疗组，40例不同意的患者作为对照组。治疗组采用内科常规治疗加脑脊液置换治疗；对照组采用内科常规治疗。结果：治疗组头痛缓解时间(5.96±1.19) d，颈强直持续时间(8.50±1.64) d，住院天数(18.93±3.91) d。对照组头痛缓解时间(9.60±1.25) d，颈强直持续时间(12.20±1.09) d，住院天数(24.40±3.76) d。两组比较，头痛的缓解时间、颈强直持续时间、住院天数均具有显著性差异(P<0.05)。结论：治疗组头痛缓解时间、颈强直持续时间、住院天数比对照组明显缩短。
[关键词] 继发性脑室出血；脑脊液置换术；临床观察
[中图分类号] R743.34[文献标识码] B [文章编号] 1673-7210(2011)07(b)-076-02
Clinical observation of cereral spinal fluid displacement in treating secondary intraventricular hemorrhage
YANG Yingshan, YANG Chaowu
Shantou Central Hospital (Shantou Affiliated Hospital of Sun Yat-sen University), Guangdong Province, Shantou 515000, China
[Abstract] Objective：To observe the effect of cereral spinal fluid displacement in treating secondary intraventricular hemorrhage(SIVH). Methods：86 patients with SIVH were divided into two groups. The treatment group consisted of 46 patients, receiving traditional therapy combined with cereral spinal fluid displacelment.The control group consisted of 40 patients, they were treating with simple traditional therapy. To observe clinical process of disease and the sustain time of headache, cervical rigidity, inpatient days. Results：in the treatment group, the sustain time of headache was(5.96±1.19)days, the sustain time of cervical rigidity was(8.50±1.64) days, the inpatient days was(18.93±3.91) days；In the control group, the sustain time of headache was (9.60±1.25) days, the sustain time of cervical rigidity was (12.20±1.09) days, the inpatient days was(24.40±3.76) days. Then to make statistical analysis, there were statistical significance(P<0.05). Conclusion：The sustain time of headache, cervical rigidity、inpatient days in the treatment group were shorter than those in the control group .
[Key words] Secondary intraventricular hemorrhage(SIVH); Cereral spinal fluid displacement; Clinical observation
近年来由于人口老龄化，糖尿病、高血压、高脂血症发病明显增多，导致脑血管疾病发病率明显上升。脑出血是脑血管疾病的一种常见急重症，自发性脑室出血是脑出血的一种类型，内科保守治疗病死率和致残率高。我院神经内科2001年1月～2011年1月间收治继发性脑室出血86例，其中46例行脑脊液置换术，获得满意疗效，报道如下。
1 资料与方法 ......
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