Ommaya囊辅助侧脑室穿刺引流术在高血压小脑出血治疗中的应用
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摘要
目的探讨Ommaya囊辅助侧脑室穿刺引流术治疗高血压小脑出血的临床疗效。方法对28例小脑出血患者行Ommaya囊埋置侧脑室引流术,Ommaya囊穿刺外引流脑脊液。结果 28例患者中无1例发生颅内感染。根据患者出院时的GOS评级:预后良好l7例,中残8例,重残1例,死亡2例。结论 Ommaya囊辅助侧脑室穿刺引流术是对常规脑室外引流治疗小脑出血安全、有效的改进方法,能有效减少并发症。
Objective To study the clinical effects of Ommaya capsule auxiliary puncture drainage of lateral ventricle in the treatment of hypertensive cerebellar hemorrhage. Methlds The 28 patients with cerebellar hemorrhage were treated with Ommaya capsule embedded drainage of lateral ventricle. Puncture Ommaya capsule and external drainage of cerebrospinal fluid were performed. Result No intracranial infection occurred in all patients.According to GOS on discharge from hospital,of 28 patients,17 were recovered well,8 moderately disabled,1 severely disabled and 2 died. Conclusion Ommaya capsule auxiliary puncture drainage of lateral ventricle drainage is safe and effective method in treatment of cerebellar hemorrhage with conventional external ventricular drainage,can effectively reduce the complications
Objective To study the clinical effects of Ommaya capsule auxiliary puncture drainage of lateral ventricle in the treatment of hypertensive cerebellar hemorrhage. Methlds The 28 patients with cerebellar hemorrhage were treated with Ommaya capsule embedded drainage of lateral ventricle. Puncture Ommaya capsule and external drainage of cerebrospinal fluid were performed. Result No intracranial infection occurred in all patients.According to GOS on discharge from hospital,of 28 patients,17 were recovered well,8 moderately disabled,1 severely disabled and 2 died. Conclusion Ommaya capsule auxiliary puncture drainage of lateral ventricle drainage is safe and effective method in treatment of cerebellar hemorrhage with conventional external ventricular drainage,can effectively reduce the complications
引文
[1]吴全理,黄少伟,王光绿,等.高血压小脑出血的外科治疗[J].临床神经外科杂志,2010,7:51.
[2]连正华,石志才.脑室引流术后感染:584例监护时间和置换导管的结果[J].国外医学·神经病学神经外科学分册,1997,24:265.
[3]许刚,张帆,陈谦学,等.颅脑术后并发颅内感染的高危因素分析[J].中国临床神经外科杂志,2008,13:362.
[4]程谦,方好,丁斌,等.持续脑室外引流并发脑室感染因素分析[J].中华神经医学杂志,2006,5:199.
[5]杨磊,黄斌,杨翔发.Ommaya储液囊在高血压性脑室出血中的应用及临床分析[J].第四军医大学学报,2009,30:2101.
[6]袁学刚,黄锦峰,陈志勇,等.Ommaya化疗泵在脑室内出血中的应用[J].中国临床神经外科杂志,2009,14:612.
[7]谷树清,于广久,张军,等.Ommaya囊辅助脑室穿刺引流术治疗动脉瘤术后脑积水[J].临床神经外科杂志,2011,8:322.
[8]关宇欣,谷树清,刘建勇,等.Ommaya囊辅助脑室穿刺引流术治疗小脑梗死致急性梗阻性脑积水[J].中国脑血管病杂志,2010,4:204.
[9]Pintado V,Cabellos C,Moreno S,et al.Enterococcal meningitis,a clinical study of 39 cases and review of the literature[J].Medicine,2003,82:346.
[10]汪复,吴永佩,张婴元,等.抗菌药物临床应用指导原则[M].北京:中华医学会,2004.38.
[11]曹志恺,魏正怀.自发性小脑出血的临床特点和手术治疗分析[J].广州医药,2004,35:20.
[12]章剑剑,翁睿光,陈汉平,等.老年人小脑出血破人脑室患者行侧脑室外引流术与开颅手术的疗效比较[J].中华老年心脑血管病杂志,2011,13:544.
[2]连正华,石志才.脑室引流术后感染:584例监护时间和置换导管的结果[J].国外医学·神经病学神经外科学分册,1997,24:265.
[3]许刚,张帆,陈谦学,等.颅脑术后并发颅内感染的高危因素分析[J].中国临床神经外科杂志,2008,13:362.
[4]程谦,方好,丁斌,等.持续脑室外引流并发脑室感染因素分析[J].中华神经医学杂志,2006,5:199.
[5]杨磊,黄斌,杨翔发.Ommaya储液囊在高血压性脑室出血中的应用及临床分析[J].第四军医大学学报,2009,30:2101.
[6]袁学刚,黄锦峰,陈志勇,等.Ommaya化疗泵在脑室内出血中的应用[J].中国临床神经外科杂志,2009,14:612.
[7]谷树清,于广久,张军,等.Ommaya囊辅助脑室穿刺引流术治疗动脉瘤术后脑积水[J].临床神经外科杂志,2011,8:322.
[8]关宇欣,谷树清,刘建勇,等.Ommaya囊辅助脑室穿刺引流术治疗小脑梗死致急性梗阻性脑积水[J].中国脑血管病杂志,2010,4:204.
[9]Pintado V,Cabellos C,Moreno S,et al.Enterococcal meningitis,a clinical study of 39 cases and review of the literature[J].Medicine,2003,82:346.
[10]汪复,吴永佩,张婴元,等.抗菌药物临床应用指导原则[M].北京:中华医学会,2004.38.
[11]曹志恺,魏正怀.自发性小脑出血的临床特点和手术治疗分析[J].广州医药,2004,35:20.
[12]章剑剑,翁睿光,陈汉平,等.老年人小脑出血破人脑室患者行侧脑室外引流术与开颅手术的疗效比较[J].中华老年心脑血管病杂志,2011,13:544.