脑室外引流联合尿激酶灌洗与单纯脑室外引流治疗重症脑室出血的效果比较

Abstract
Figure/Table
References (16)
Related Citation (13)

Download: PDF (0 KB) HTML (35 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To approach curative effect comparison of treatment severe ventricular hemorrhage by external ventricular drainage combine with urokinase lavage and simple ventricular drainage.Methods The 64 cases clinical data of severe ventricular hemorrhage patients in Cerebral Surgery Department of People′s Hospital of Luxi County from February 2012 to February 2015 were analyzed，which was to be divided into two groups by different treatment methods，external ventricular drainage combine with urokinase lavage group 32 cases and simple ventricular drainage group 32 cases.The hematoma removal time，cerebrospinal fluid recovery time of two groups severe ventricular hemorrhage patients were detected，the GCS score of two groups severe ventricular hemorrhage patients were detected.Results The hematoma removal time　［（5.2±1.2）d］，cerebrospinal fluid recovery time　［（9.4±1.9）d］of external ventricular drainage combine with urokinase lavage group severe ventricular hemorrhage patients were lower than those of simple ventricular drainage group　［（10.3±1.6），（17.2±3.6）d］，the good/moderate disability proportion of 50.0%in external ventricular drainage combine with urokinase lavage group severe ventricular hemorrhage patients were higher than simple ventricular drainage group of 25.0%，severely disabled/coma　（37.5%），death rate　（12.5%）were lower than simple ventricular drainage group（50.0%，25.0%，P＜0.05），the differences were statistical significance（P＜0.05）.Conclusion The patients of treatment severe ventricular hemorrhage by external ventricular drainage combine with urokinase lavage，clinical symptoms can improve，prognostic level of patients is high，it is worth to be used.

Key words： External ventricular drainage Urokinase lavage Simple ventricular drainage Severe ventricular hemorrhage Comparison

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Jun
	YAN Jin-ting

Cite this article:

LIU Jun,YAN Jin-ting. Curative effect comparison of treatment severe ventricular hemorrhage by external ventricular drainage combine with urokinase lavage and simple ventricular drainage[J]. 中国当代医药, 2016, 23(16): 71-73.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I16/71

［1］	茅明凯，徐美仪，张保剑，等.Graeb评分与脑室出血行脑室外引流术患者预后相关性研究［J］.安徽医学，2014，35 （12）：1705-1707.
［2］	Morgan TC，Dawson J，Spengler D，et al.The modified graeb score：An enhanced tool for intraventricular hemorrhage measurement and prediction of functional outcome［J］.Stroke，2013，44（3）：635-641.
［3］	熊方令，刘保华，蔡旺，等.脑室外引流相关脑室炎危险因素对比研究［J］.中华神经外科杂志，2013，29（3）：270-272.
［4］	沈建，佘晓春.颅内压监测下脑室外引流治疗脑室出血50例临床分析［J］.江苏医药，2015，41（14）：1725-1726.
［5］	刘雪刚，刘德强，戴诚达，等.侧脑室外引流尿激酶灌洗联合腰大池持续引流治疗脑出血破入脑室的临床对照研究［J］.浙江创伤外科，2015，20（4）：656-657.
［6］	Morgenstern LB，Hemphill JC，Anderson C，et al.Guidelines for the management of spontaneous intracerbral hemorrhage：a guideline for healthcare professionals from the American Heart Association/American Stroke Association［J］. Stroke，2010，41（9）：2018-2129.
［7］	周永志，代荣晓，王刚，等.双侧脑室外引流联合腰大池持续引流治疗脑室出血铸型（附79例报告）［J］.中华神经外科杂志，2013，29（11）：1149-1151.
［8］	王智勇，艾昌淼，罗兴武，等.间断性侧脑室联合腰大池交替引流术治疗脑室出血的临床分析［J］.中国医师进修杂志，2013，36（12）：61-63.
［9］	杨平来，张源源，周立田，等.微创脑室外引流术治疗39例脑室出血体会［J］.临床神经外科杂志，2015，12（5）：378-380.
［10］	于剑，王庭忠，高飞，等.微创穿刺脑室外引流术联合早期腰大池引流术治疗脑室出血的疗效分析［J］.中国现代神经疾病杂志，2014，14（5）：437-440.
［11］	楚洪波，徐明，李朝晖，等.脑室外引流与腰大池引流序贯治疗老年重型脑室出血的疗效［J］.中国老年学杂志，2014，34（8）：2281-2282.
［12］	Chen CC，Liu CL，Tung YN，et al.Endoscopic surgery for intraventricular hemorrhage（IVH）caused by thalamic hemorrhage：comparisons of endoscopic surgery and external ventricular drainage（EVD）surgery［J］.World Neurosurg，2011，75（2）：264-268.
［13］	沈斌，董广佩，方九强.持续尿激酶灌洗及阶梯法夹管治疗急性重症铸型脑室出血［J］.临床神经外科杂志，2013，10（5）：307-308.
［14］	Atsumi H，Matsumae M，Hirayama A，et al.Newly developed electromagnet tracked flexible neuroendoscope［J］.Neurol Med Chir（Tokyo），2011，51（8）：611.
［15］	吕文革，任祖东，姜新建，等.超早期侧脑室外引流辅以尿激酶灌洗和腰穿置管持续引流治疗重型脑室出血的临床分析［J］.立体定向和功能性神经外科杂志，2011，24 （6）：368-370.
［16］	Tanei T，Nakahara N，Takebayashi S，et al.Endoscopic biopsy for lesions lacated in the parenchyma of the brain：preoperative planning based on stereotactic methods.technical note［J］.Neurol Med Chir（Tokyo），2012，52（8）：617.