【摘要】 目的 探讨高血压性脑室出血的治疗方法。方法 采用双侧脑室引流灌洗加腰穿脑脊液置换的联合方法，治疗高血压性脑室出血45例，并依据其治疗效果，与常规单侧引流的101例资料对照。结果 采用双侧脑室引流灌洗加腰穿脑脊液置换的联合方法的治疗组总有效率明显高于对照组，同时病死率明显下降。结论 双侧脑室引流灌洗加腰穿脑脊液置换，是治疗高血压性脑室出血的一种安全有效的方法。
【关键词】 脑室出血； 双侧脑室引流术； 腰穿
Application of bilateral ventricle drainage with cerebrospinal fluid exchange by lumbar puncture in the treatment ofintraventricular hemorrhage caused by hypertension
YANG Shi-guang, WEI Lin-ping, YANG Zhi-xiong. The Public Hospital of Longchuan Profeture,Heyuan 517300,China
【Abstract】 Objective
To study the effective treatment forventricular hemorrhage caused by hypertension。 Methods There were two types of methods of treatment used for a total of 146 cases ventricular hemorrhage caused by hypertension, which included medical treatment combined with unilateral ventricular drainage(101 cases)and medical treatment combined with bilateral lateral ventricular drainage and lumbar puncture(45 cases)。Results The cure rate, the total effective rateof the bilateral ventricular drainage group were significantly higher than the other groups(P 2.2 两组临床疗效比较
治疗组45例，痊愈或好转39例，死亡6例。死亡率13.3%。对照组101例, 痊愈或好转72例，死亡29例, 死亡率28.8%。治疗组总有效率明显优于对照组，病死率明显低于对照组(P